Provider Demographics
NPI:1811985138
Name:BLOSZINSKY, SCOTT J (PSYD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:J
Last Name:BLOSZINSKY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 MARANATHA WAY
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9307
Mailing Address - Country:US
Mailing Address - Phone:610-737-0777
Mailing Address - Fax:
Practice Address - Street 1:264 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6224
Practice Address - Country:US
Practice Address - Phone:610-866-9311
Practice Address - Fax:610-882-2072
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015146103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2039500000OtherINDEPENDENCE BLUE CROSS
PA298535000OtherMAGELLAN BEHAVIORAL HEALT
PA7546297OtherAETNA
PA03158401OtherCAPITAL BLUE CROSS
PA1346961OtherHIGHMARK
PA680014467OtherRAIL ROAD MEDICARE
PA298535000OtherMAGELLAN BEHAVIORAL HEALT