Provider Demographics
NPI:1790937928
Name:BLASCIAK, MARGARET HUTCHINSON
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:HUTCHINSON
Last Name:BLASCIAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:HUTCHINSON
Other - Last Name:VANDEVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6541 SPECKER AVE BLDG 1830
Mailing Address - Street 2:MOUNTAIN POST BEHAVIORAL HEALTH
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4263
Mailing Address - Country:US
Mailing Address - Phone:719-503-7852
Mailing Address - Fax:
Practice Address - Street 1:6541 SPECKER AVE BLDG 1830
Practice Address - Street 2:MOUNTAIN POST BEHAVIORAL HEALTH
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80913-4263
Practice Address - Country:US
Practice Address - Phone:719-526-2858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60189688103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical