Individual
DR. PAVEL S. BLAGOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
409 E SUMACH ST, STE 3, WALLA WALLA, WA 99362-1202
(509) 876-1793
(877) 991-1631
Mailing address
885 HEDINE RD, WALLA WALLA, WA 99362-8716
(509) 876-1793
(877) 991-1631
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60236271
WA
Other
Enumeration date
03/20/2012
Last updated
09/22/2018
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