Provider Demographics
NPI:1720825086
Name:BLANCHARD, BRITTNIE LEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTNIE
Middle Name:LEE
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 CHICHESTER AVE APT A16
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-3202
Mailing Address - Country:US
Mailing Address - Phone:805-501-4712
Mailing Address - Fax:
Practice Address - Street 1:200 HIGHPOINT DR STE 215
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3925
Practice Address - Country:US
Practice Address - Phone:215-491-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020191103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical