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Contact Information

MELISSA M BLAIR, PhD
3005 JAMES AVE S
MINNEAPOLIS, MN55408-2533
 Phone: 612-227-2829
 Fax: 612-377-7501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MELISSA M BLAIR · (Female)

NPI # 1962570242
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/02/2006
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP3550
  • MN Medicaid 040161700
  • MN Other 20258-11 BHP
  • MN Other 117T6NA OR 114T7NA BLUE CROSS BLUE SHIELD
  • MN Other 6173818 MEDICA OR UBH
  • MN Other 141774 UCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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