Individual
DR. JAMES P. BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2100 GARDINER LN, NOLAN BUILDING SUITE 307, LOUISVILLE, KY 40205-2962
(502) 456-1990
(502) 473-0667
Mailing address
2100 GARDINER LN, NOLAN BUILDING SUITE 307, LOUISVILLE, KY 40205-2962
(502) 456-1990
(502) 473-0667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
400
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000071711
ANTHEM
KY
Enumeration date
09/12/2005
Last updated
07/08/2007
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