Active NPIIndividual providerSole proprietor

Damon Blank, LMFT, CGP

Marriage & Family Therapist in Medfield, Massachusetts

NPI Number1578616991
Practice location
5 W Mill St, Medfield, MA 02052-1554
Fax
508-359-6631
Last updated
July 8, 2007

Damon Blank is a Marriage & Family Therapist based in Medfield, MA. Damon Blank practices in Medfield, MA and has the professional credentials of LMFT, CGP. The NPI Number for Damon Blank is 1578616991 and holds a License No. 6 (MA). The current practice location address for Damon Blank is 5 W Mill St, Medfield, MA 02052-1554 and can be reached out via phone at 508-359-6631 and via fax at 508-359-6631.

Provider Profile Details

NPI Number
1578616991
Provider Name
Damon Blank
Credential
LMFT, CGP
Provider Entity Type
Individual
Gender
Male
Address
5 W Mill St, Medfield, MA 02052-1554
Phone Number
508-359-6631
Fax Number
508-359-6631
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 W Mill St
Medfield, MA 02052-1554
Zip
02052-1554
Phone Number
508-359-6631
Fax Number
508-359-6631
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
5 W Mill St
Medfield, MA 02052-1554
City
Medfield
State
MA
Zip
02052-1554
Phone Number
508-359-6631
Fax Number
508-359-6631

License Information

License Number
6
License State
MA
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Damon Blank, LMFT, CGP?

The NPI number of Damon Blank, LMFT, CGP is 1578616991. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Damon Blank, LMFT, CGP?

Damon Blank, LMFT, CGP is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in MA under license number 6.

Where does Damon Blank, LMFT, CGP practice?

The practice location is 5 W Mill St, Medfield, MA 02052-1554. The office can be reached at 508-359-6631 (phone) or 508-359-6631 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578616991 directly on the NPPES registry website.

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