Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE MARIE BLUST, QMHP
Active Sole ProprietorSTEPHANIE MARIE BLUST, QMHP is a Community/Behavioral Health healthcare provider located in FAIRBORN, Ohio. NPI 1639768963 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · FAIRBORN, OH
Registration Details
- NPI Number
- 1639768963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2021 (5.5516724214276 yrs)
- Last Updated
- Jan 12, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 N BROAD STFAIRBORN, OH, 453244934Browse OH providers · Browse ZIP 45324
- Phone
- 9373188103
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.