Individual
CASSIDY F BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12021 WILSHIRE BLVD, SUITE 430, LOS ANGELES, CA 90025-1206
(310) 866-6414
(310) 826-4706
Mailing address
9454 WILSHIRE BLVD, PH 6, BEVERLY HILLS, CA 90212-2937
(310) 866-6414
(310) 826-4706
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY22022
CA
103TC0700X
Clinical Psychologist
Primary
PSY22022
CA
Other
Enumeration date
07/22/2008
Last updated
02/13/2017
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