Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN LYNNE BLAINE, MFT
Active Sole ProprietorMarriage & Family Therapist · DAVIS, CA
Registration Details
- NPI Number
- 1174542666
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (19.779355992557 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFC33852 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 LAKE BLVDSUITE 243DAVIS, CA, 956162614Browse CA providers · Browse ZIP 95616
- Phone
- 5302971601
- Fax
- 5302976864
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in DAVIS, CA
| Name | Credential | NPI |
|---|---|---|
| JUDITH MANHEIM BLUM | MFT | 1306849930 |
| MARTA INDUNI | MFC | 1164428686 |
| MR. RICHARD KILFOYLE | M.F.T. | 1467486647 |
| MS. WENDY ELLEN WATSON | MFT | 1447270947 |
| KATHLEEN ALYCE BAXTER | MFT | 1497762215 |
| DELBERT JONES III | M.S. | 1346353638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.