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Dr. Jonathan Matthew Blair, PHD
Student in an Organized Health Care Education/Training Program in Lansing, Michigan
NPI 1285940064

Jonathan Matthew Blair is a Student in an Organized Health Care Education/Training Program based in Lansing, MI. Jonathan Matthew Blair practices in Lansing, MI and has the professional credentials of PHD. The NPI Number for Jonathan Matthew Blair is 1285940064 and holds a License No. 6301014658 (Michigan).

The current practice location address for Jonathan Matthew Blair is 5123 W St Joe Hwy, Lansing, MI and can be reached out via phone at 517-323-4099 and via fax at 517-323-3334. You can also correspond with Jonathan Matthew Blair through the mailing address at 5123 W ST JOE HWY, LANSING, MI - 48917-4093 (mailing address contact number: 517-323-4099).

Location: 5123 W St Joe Hwy, Lansing, MI, 48917-4093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285940064
Provider Name
Jonathan Matthew Blair
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
5123 W St Joe Hwy, Lansing, MI, 48917-4093
Phone Number
517-323-4099
Fax Number
517-323-3334
Provider Enumeration Date
08/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5123 W St Joe Hwy
City
Lansing
State
Michigan
Zip
48917-4093
Phone Number
517-323-4099
Fax Number
517-323-3334
person
Provider Business Mailing Address Details
Address
5123 W St Joe Hwy
City
Lansing
State
Michigan
Zip
48917-4093
Phone Number
517-323-4099
Fax Number
517-323-3334
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
6301014658 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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