Individual
DR. JAIME ANNE BLANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(404) 313-0464
Mailing address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(404) 313-0464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003040
GA
Other
Enumeration date
03/03/2009
Last updated
10/20/2014
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