Individual
DR. CAROL A BLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4605 MORSE RD STE 201, GAHANNA, OH 43230-7300
(614) 578-1165
(614) 388-5561
Mailing address
7727 AUSTINBURG RD, ASHTABULA, OH 44004-9010
(614) 578-1185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5339
OH
103TA0700X
Adult Development & Aging Psychologist
5339
OH
103TB0200X
Cognitive & Behavioral Psychologist
5339
OH
103TC0700X
Clinical Psychologist
5339
OH
103TC2200X
Clinical Child & Adolescent Psychologist
5339
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
5339
OH
Other
Enumeration date
07/01/2006
Last updated
11/19/2024
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