Organization
BLOUNT PSYCHOLOGY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA RUTH BLOUNT PH.D. (DIRECTOR/CLINICAL PSYCHOLOGIST)
(773) 633-0116
Entity
Organization
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
Other
Enumeration date
05/21/2009
Last updated
10/13/2014
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