Individual
MR. JOHN JAMES BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
634 KING STREET, POTTSTOWN, PA 19464
(610) 323-8866
(610) 323-1406
Mailing address
634 KING STREET, POTTSTOWN, PA 19464
(610) 323-8866
(610) 323-1406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSD15479
PA
103TC0700X
Clinical Psychologist
Primary
PS015479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSD15479
STATE LICENSE
PA
Enumeration date
05/17/2007
Last updated
07/21/2022
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