Healthcare Provider Details

I. General information

NPI: 1780512723
Provider Name (Legal Business Name): CAMERON DOUGLAS BLAIR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 PARK PLACE DR STE 108
WASHINGTON PA
15301-2068
US

IV. Provider business mailing address

756 CARRIAGE CIR
PITTSBURGH PA
15205-1628
US

V. Phone/Fax

Practice location:
  • Phone: 724-300-8028
  • Fax: 724-240-6474
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: