Individual
DR. THOMAS ANDREW BLANSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2200 E SUNSHINE ST STE 318, SPRINGFIELD, MO 65804-1861
(417) 886-4011
(417) 886-4011
Mailing address
2200 E SUNSHINE ST STE 318, SPRINGFIELD, MO 65804-1861
(417) 886-4011
(417) 886-4011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PYRO336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528202314
—
MO
Enumeration date
04/24/2009
Last updated
09/27/2011
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