Individual
DR. JULIA A BLODGETT
Active
Individual
DR. JULIA A BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002094
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007709846
—
VA
01
—
113188
ANTHEM BCBS OF VA
VA
01
—
262856000
MAGELLAN
VA
Enumeration date
03/27/2007
Last updated
08/05/2014
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