Dr Shirley Joanne Blair, PSYD is a
Psychologist - Clinical based in Little River, California. Dr Shirley Joanne Blair is licensed to practice in California (license number PSY21383) and her current practice location is
33200 Frog Pond Road, Little River, California. She can be reached at her office (for appointments etc.) via phone at
(707) 972-2048.
NPI number for Dr Shirley Joanne Blair is 1487862041 and her current mailing address is Po Box 376, Little River, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487862041.
Healthcare Provider's Profile
Full Name | Dr Shirley Joanne Blair |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 33200 Frog Pond Road, Little River, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487862041
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Shirley Joanne Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487862041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY21383 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shirley Joanne Blair is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shirley Joanne Blair, PSYD Po Box 376, Little River, CA 95456-0376 Ph: (707) 937-3992 | Dr Shirley Joanne Blair, PSYD 33200 Frog Pond Road, Little River, CA 95456 Ph: (707) 972-2048 |
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