National Provider Identifier
Katrina Blomquist, PH.D.
Katrina Blomquist, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Ithaca, NY and a listed phone number of (607) 260-3100.
Profile Overview
- NPI
- 1659770535
- Provider Type
- Individual
- Primary Specialty
- Clinical Child & Adolescent Psychologist
- Enumeration Date
- August 18, 2014
- Last Updated
- March 02, 2023
Practice Location
- 950 Danby RD Ste 202F
- Ithaca, NY 14850-5714
Phone: (607) 260-3100
Specialties
- Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
- NPI
- 1659770535
- Entity Type
- Individual
- Last Name
- Blomquist
- First Name
- Katrina
- Credential
- PH.D.
- Mailing Street Address
- 950 Danby RD Ste 202F
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5714
- Mailing Country
- US
- Mailing Phone
- (607) 260-3100
- Practice Street Address
- 950 Danby RD Ste 202F
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5714
- Practice Country
- US
- Practice Phone
- (607) 260-3100
- Enumeration Date
- August 18, 2014
- Last Updated
- March 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Child & Adolescent Psychologist (103TC2200X)