C. DAVID BLAIR


Address: 179 Summers St, Suite 706, Charleston, WV 25301-2163
Phone: 3043428300

C. DAVID BLAIR (NPI# 1447206941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447206941
Entity Type Individual
Full Name C. DAVID BLAIR
Credential PH.D.
Practice Address 179 Summers St
Suite 706
Charleston
WV 25301-2163
Mailing Address 179 Summers St
Suite 710
Charleston
WV 25301-2163
Practice Telephone 3043428300
Practice Fax Number 3043428311
Mailing Telephone 3043428300
Mailing Fax Number 3043428311
Enumeration Date 2006-05-26
Last Update Date 2011-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 514 WV Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
514 WV Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
514 WV Behavioral Health & Social Service Providers
N 103TH0100X Psychologist
Specialization: Health Service
514 WV Behavioral Health & Social Service Providers

Office Location

Street Address 179 SUMMERS ST
SUITE 706
City CHARLESTON
State WV
Zip Code 25301-2163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770700148 Deborah Suzanne Frost Counselor 179 Summers St, Peoples Building Suite 607, Charleston, WV 25301-2163 2007-04-19
1023235355 Cathy S Gross Counselor 179 Summers St, Peoples Building Suite 607, Charleston, WV 25301-2163 2007-04-19
1376581942 Center for Health Psychology, Inc. Clinical Neuropsychologist 179 Summers St, Suite 710, Charleston, WV 25301-2163 2006-06-03

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1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
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1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
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1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
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1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184132193 South Carolina Neuro, LLC Clinical Neuropsychologist 29 Leinbach Drive, D4, Charleston, SC 29407-7086 2018-01-12
1427261783 Charleston Psychiatry Clinical Neuropsychologist 9929 F University Blvd, 2 B, Charleston, SC 29406 2007-05-07
1528670304 Heather Holden Clinical Neuropsychologist 109 Bee St, Charleston, SC 29401-5703 2020-08-21
1902428725 Emmi Scott Clinical Neuropsychologist 171 Ashley Ave, Charleston, SC 29425-8908 2020-05-14
1649769431 Danielle L. Cool Clinical Neuropsychologist 109 Bee St, Charleston, SC 29401-5703 2018-05-07
1922536598 Dana M Szeles Clinical Neuropsychologist 135 Rutledge Ave, Charleston, SC 29425-8903 2017-05-26
1831575083 Margaret B Hudepohl Clinical Neuropsychologist 171 Ashley Ave, Charleston, SC 29425-1873 2015-08-10
1487088894 Andreana Benitez Clinical Neuropsychologist 171 Ashley Ave, Charleston, SC 29425-8908 2013-08-22
1548599160 Jeffrey James Schneider Clinical Neuropsychologist 109 Bee St, Compensation and Pension, Charleston, SC 29401-5703 2009-12-10
1407089584 Travis Henry Turner Clinical Neuropsychologist 109 Bee St, Ralph H Johnson Vamc, Mh 116, Charleston, SC 29401-5703 2009-08-24
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Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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