Organization
THOMAS A. BLANSETT, PH.D., INC.
Active
Organization
THOMAS A. BLANSETT, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANDREW BLANSETT PH.D. (PRESIDENT)
(417) 886-4011
Entity
Organization
Contact information
Practice address
2200 E SUNSHINE ST STE 318, SPRINGFIELD, MO 65804-1861
(417) 886-4011
(417) 886-4011
Mailing address
2200 E SUNSHINE ST STE 318, SPRINGFIELD, MO 65804-1861
(417) 886-4011
(417) 886-4011
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PYRO336
MO
103TC0700X
Clinical Psychologist
Primary
PYRO336
MO
103TC2200X
Clinical Child & Adolescent Psychologist
PYRO336
MO
103TF0200X
Forensic Psychologist
PYRO336
MO
103TR0400X
Rehabilitation Psychologist
PYRO336
MO
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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