Provider Demographics
NPI:1144412198
Name:BLUE, NATALIE
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:
Last Name:BLUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 ESSEX ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3154
Mailing Address - Country:US
Mailing Address - Phone:201-486-7268
Mailing Address - Fax:
Practice Address - Street 1:394 ESSEX ST
Practice Address - Street 2:UNIT 2
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3154
Practice Address - Country:US
Practice Address - Phone:201-486-7268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health