Robert Blanchette, M.ED.; ED.S.

Individual provider Active NPI School Psychologist · Eustis, FL

NPI 1801201736 · NPPES record last updated Jun 30, 2014

Key facts

NPI
1801201736
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
SS 1185 (FL)
Practice address
233 E Key Ave Apt 5
Eustis, FL 32726-4883
Phone
(352) 217-0131
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SS 1185FLMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS 1185 FL Yes

Addresses

Primary practice location

233 E Key Ave Apt 5
Eustis, FL 32726-4883

Mailing address

233 E Key Ave Apt 5
Eustis, FL 32726-4883
Phone (352) 217-0131

Other providers in Eustis, FL

All providers in Eustis, FL · School Psychologist in Florida

Sources for this page

Verify at the official NPI Registry.