Provider Demographics
NPI:1508387184
Name:BLANKENSHIP, ALLISON PAIGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:PAIGE
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6740 CROSSWINDS DRIVE N
Mailing Address - Street 2:SUITE L
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710
Mailing Address - Country:US
Mailing Address - Phone:727-599-3624
Mailing Address - Fax:916-734-4150
Practice Address - Street 1:6740 CROSSWINDS DRIVE N
Practice Address - Street 2:SUITE L
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710
Practice Address - Country:US
Practice Address - Phone:727-599-3624
Practice Address - Fax:916-734-4150
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-04
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10810103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty