ELIZABETH DALE BLAIR (NPI# 1033272216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033272216 |
| Entity Type | Individual |
| Full Name | ELIZABETH DALE BLAIR |
| Credential | PHD |
| Practice Address |
280 North Providence Road Media PA 19063 |
| Practice Telephone | 6105651129 |
| Mailing Telephone | 6105651129 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS0033762 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 280714000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| 1528418746 | Elizabeth Blair | Speech-Language Pathologist | 1310 Gables Dr Ne, Brookhaven, GA 30319-5345 | 2016-06-18 |
| 1679632897 | Elizabeth Astin Blair | Otolaryngology | 5841 S Maryland Ave # 1035, Chicago, IL 60637-1447 | 2006-12-06 |
| 1427446095 | Elizabeth Blair | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2015-01-05 |
| 1225370729 | Elizabeth Blair | Pharmacist | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2013-03-22 |
| 1538201553 | Elizabeth Blair | Obstetrics & Gynecology | 48 Medical Park Dr E, Suite 355, Birmingham, AL 35235-3400 | 2007-02-13 |
| 1629139688 | Elizabeth Louise Blair | Chiropractor | 3611 Main St, Suite 103, Kansas City, MO 64111-1932 | 2006-12-13 |
| 1356432827 | Elizabeth M Blair | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2006-09-27 |
| 1730107228 | Elizabeth Marie Blair | Psychologist | 5900 N Port Washington Rd, Ste 230, Glendale, WI 53217 | 2006-07-17 |
| 1740207398 | Elizabeth Ivey Blair | Pediatrics | 417 N Main St, Kenansville, NC 28349-8801 | 2006-07-17 |
| Street Address |
280 NORTH PROVIDENCE ROAD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831658376 | Dragonfly Psychological Associates | Psychologist | 600 N Jackson St Ste 306, Media, PA 19063-2530 | 2019-03-14 |
| 1609345107 | Christopher Bailey | Psychologist | 77 W Baltimore Pike Ste 100a, Media, PA 19063-5637 | 2018-11-14 |
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1801146089 | Irwin Farbman | Psychologist | 20 W Third St, Media, PA 19063-2646 | 2012-09-14 |
| 1215141254 | Renee Balthrop | Psychologist | 13 Horseshoe Dr, Media, PA 19063-4415 | 2007-05-09 |
| 1093851024 | Jane E Iannuzzelli | Psychologist | 331 W State St, Media, PA 19063-2615 | 2007-01-29 |
| 1194870253 | Anthony Frank Goldsmith | Psychologist | 42 E Front St, Media, PA 19063-2912 | 2007-01-25 |
| 1457402570 | Michele A. Hyman | Psychologist | 319 W Front St, 2nd Floor, Media, PA 19063-2340 | 2007-01-16 |
| 1598841314 | Gregory Broughton Milbourne | Psychologist | 13 W Third St Fl 3, Media, PA 19063-2803 | 2006-10-27 |
| 1801816111 | Roger C. Sealy | Psychologist | 890 Paxon Hollow Rd, Media, PA 19063-1003 | 2006-07-20 |
| Find all providers in MEDIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.