Provider Demographics
NPI:1225542236
Name:BLECHSCHMIDT, ALLISON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:BLECHSCHMIDT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:DITTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7918 MAIN ST UNIT 722
Mailing Address - Street 2:
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051-6028
Mailing Address - Country:US
Mailing Address - Phone:619-677-6093
Mailing Address - Fax:
Practice Address - Street 1:9088 AIRFIELD CT
Practice Address - Street 2:
Practice Address - City:KEMPTON
Practice Address - State:PA
Practice Address - Zip Code:19529-9071
Practice Address - Country:US
Practice Address - Phone:610-393-6639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018393103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical