Individual
DR. AMY BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20045 STEVENS CREEK BLVD, SUITE D-2B, CUPERTINO, CA 95014-2353
(650) 823-1157
Mailing address
20045 STEVENS CREEK BLVD, SUITE D-2B, CUPERTINO, CA 95014-2353
(650) 823-1157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 9701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2813510
CIGNA
CA
01
—
4102980
AETNA
CA
01
—
76612
MANAGED HEALTH NETWORK
CA
Enumeration date
12/09/2011
Last updated
12/09/2011
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