| Elva E. Blanks, Ph.d. Llc | |
|
3295 N Drinkwater Blvd Suite 1 Scottsdale AZ 85251-6492 | |
| (602) 751-6335 | |
| Not Available |
| Full Name | Elva E. Blanks, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3295 N Drinkwater Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Elva Elaine Blanks (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6027516335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elva E. Blanks, Ph.d. Llc 3295 N. Drinkwater Blvd Suite 1 Scottsdale AZ 85251 Ph: (602) 751-6335 | Elva E. Blanks, Ph.d. Llc 3295 N Drinkwater Blvd Suite 1 Scottsdale AZ 85251-6492 Ph: (602) 751-6335 |
| NPI Number | 1811221971 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 0941349229 |
|---|---|
| Medicare Enrollment ID | O20091125000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811221971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 4005 (Arizona) | Primary |
| Provider Name | Elva E Blanks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871738005 PECOS PAC ID: 7214076595 Enrollment ID: I20091125000596 |
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