Individual provider · Type 1 NPI
Lynda Shane Blasko, PhD
Psychologist · Atlanta, GA
Practice location
1409 North Highland Avenue, Suite J
Atlanta, GA 30306
Mailing address
1290 Oaklawn Avenue NE
Brookhaven, GA 30319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Counseling Psychologist | 103TC1900X | 004067 (GA) |
| Psychologist Primary | 103T00000X | 004067 (GA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1083937874
Lynda Shane Blasko, PhD's National Provider Identifier is 1083937874, issued on Mar 8, 2010. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 21, 2022.