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Individual

DR. JULIA A BLODGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
417 EMMET STREET, SOUTH, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621
Mailing address
417 EMMET STREET, SOUTH, P.O. BOX 400270, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621

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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