Individual
DR. F RICHARD BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6100 LAKE FORREST DR NW, STE 510, ATLANTA, GA 30328-3822
(404) 705-9770
(404) 531-0517
Mailing address
6100 LAKE FORREST DR NW, STE 510, ATLANTA, GA 30328-3822
(404) 705-9770
(404) 531-0517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480191B
—
GA
Enumeration date
12/14/2006
Last updated
07/08/2007
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