Individual
DR. MELISSA RUTH BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1604 CHICAGO AVE, STE.10, EVANSTON, IL 60201-6017
(773) 633-0116
Mailing address
729 EMERSON ST, APT 2E, EVANSTON, IL 60201-3836
(773) 633-0116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007335
IL
103TC0700X
Clinical Psychologist
6301015296
MI
Other
Enumeration date
10/12/2007
Last updated
01/27/2015
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