Individual
PAUL BLANDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
553 E PLAZA CIR, LITCHFIELD PARK, AZ 85340-4930
(623) 535-6066
Mailing address
12510 W READE AVE, LITCHFIELD PARK, AZ 85340-4122
(623) 512-7507
(623) 536-7880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725202
—
AZ
Enumeration date
01/24/2007
Last updated
07/26/2007
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