Individual
BETTY MARTIN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ED.D.
Contact information
Practice address
7600 STENTON AVE, SUITE 1F, PHILADELPHIA, PA 19118-3231
(215) 247-5400
(215) 247-5175
Mailing address
7600 STENTON AVE, SUITE 1F, PHILADELPHIA, PA 19118-3231
(215) 247-5400
(215) 247-5175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN115101L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225958000
PERSONAL CHOICE
PA
01
—
7135268
AETNA
PA
Enumeration date
02/08/2007
Last updated
07/08/2007
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