Individual
DR. ANDREW JOSEPH BLAZSANYIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3001A SIXTH STREET, NAVAL HEALTH CENTER 9TH FLOOR, GREAT LAKES, IL 60088-5230
(847) 867-6961
Mailing address
3001A SIXTH STREET, NAVAL HEALTH CENTER 9TH FLOOR, GREAT LAKES, IL 60088-5230
(847) 867-6961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006897
IL
Other
Enumeration date
07/23/2006
Last updated
05/02/2008
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