Individual
DR. CHRISTINE L. BLAINE
Active
Individual
DR. CHRISTINE L. BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
B1-0000489
DE
103G00000X
Clinical Neuropsychologist
PS-005745-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
B1-0000489
DE
103TB0200X
Cognitive & Behavioral Psychologist
PS-005745-L
PA
103TC0700X
Clinical Psychologist
B1-0000489
DE
103TC0700X
Clinical Psychologist
Primary
PS-005745-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
B1-0000489
DE
103TC2200X
Clinical Child & Adolescent Psychologist
PS-005745-L
PA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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