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).
| 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 |
| 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 |
| Street Address |
179 SUMMERS ST SUITE 706 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-2163 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| 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 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on C. DAVID BLAIR.
| 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.