National Provider Identifier
Kathleen M Blair, MASTER OF SOCIAL WOR
Kathleen M Blair, MASTER OF SOCIAL WOR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 260-3100.
Profile Overview
- NPI
- 1689751414
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 01, 2006
- Last Updated
- June 10, 2021
Practice Location
- 950 Danby RD
- Ithaca, NY 14850-5778
Phone: (607) 260-3100
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1689751414
- Entity Type
- Individual
- Last Name
- Blair
- First Name
- Kathleen
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- MASTER OF SOCIAL WOR
- Mailing Street Address
- 950 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5778
- Mailing Country
- US
- Mailing Phone
- (607) 260-3100
- Practice Street Address
- 950 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5778
- Practice Country
- US
- Practice Phone
- (607) 260-3100
- Enumeration Date
- November 01, 2006
- Last Updated
- June 10, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)