Mrs. Lynda Shane Blasko
Counselor Psychologist Counseling Psychologist
1409 North Highland Avenue Suite J
Atlanta
, Georgia 30306
Mrs. Lynda Shane Blasko
Counselor Psychologist Counseling Psychologist
1409 North Highland Avenue Suite J
Atlanta
, Georgia 30306
(404) 908-1773
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About
Features
Specialties
- Counselor
- Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Lynda Shane Blasko
- 1290 Oaklawn Avenue Ne
- Brookhaven, GA
- Zip : 30319
- Phone : (404) 908-1773
Second Address
- Mrs. Lynda Shane Blasko
- 1409 North Highland Avenue Suite J
- Atlanta, GA
- Zip : 30306
- Phone : (404) 908-1773
Reviews
FAQs
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What type of doctor is Mrs. Lynda Shane Blasko
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Is Mrs. Lynda Shane Blasko a sole practitioner?
Is Mrs. Lynda Shane Blasko accepting new patients?
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Does Mrs. Lynda Shane Blasko have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 102L00000X | Psychologist | 004067 | GA |
| Y | 103T00000X | Psychologist | 004067 | GA |
| N | 103TC1900X | Counseling Psychologist | 004067 | GA |
National Provider Identifier
| NPI | 1083937874 |
|---|---|
| Provider Name | Mrs. Lynda Shane Blasko |
| First Address | Brookhaven, GA 30319 |
| Second Address | Atlanta, GA 30306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2010 |
| Last Update Date | 24/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.