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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