Provider Demographics
NPI:1629389408
Name:BLANCHARD PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:BLANCHARD PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-838-8998
Mailing Address - Street 1:1201 WAKARUSA DR STE C3C
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3910
Mailing Address - Country:US
Mailing Address - Phone:785-838-8998
Mailing Address - Fax:888-361-6910
Practice Address - Street 1:1201 WAKARUSA DR STE C3-F
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4722
Practice Address - Country:US
Practice Address - Phone:785-838-8998
Practice Address - Fax:888-361-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1186103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty