Healthcare Provider Details

I. General information

NPI: 1891446977
Provider Name (Legal Business Name): JULIA BLASEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 700
CHEVY CHASE MD
20815-5831
US

IV. Provider business mailing address

8401 CONNECTICUT AVE STE 700
CHEVY CHASE MD
20815-5831
US

V. Phone/Fax

Practice location:
  • Phone: 240-424-0184
  • Fax:
Mailing address:
  • Phone: 240-424-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number07024
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: