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Individual

DR. TAI VALLIE BLANSCET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4800 MEMORIAL DR, BUILDING 7 BLIND REHAB UNIT, WACO, TX 76711-1329
(254) 297-3000
(254) 297-3915
Mailing address
218 VALLECITO CV, GEORGETOWN, TX 78626-7083
(972) 207-3727

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3351
CO

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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