Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 102L00000X | Psychologist | 06156 | MD |
Y | 103T00000X | Psychologist | 06156 | MD |
NPI | 1003117060 |
---|---|
Provider Name | Dr. Meghan Colleen Commins Blattner |
First Address | Kailua, HI 96734-4709 |
Second Address | Lutherville Timonium, MD 21093-5611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2010 |
Last Update Date | 19/10/2020 |