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Individual

DR. CAROL A BLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

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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