IndividualActive
Andrew Blalock, PH.D.
NPI 1659415412 · Psychologist · Atlanta, GA
Provider details
- NPI number
- 1659415412
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0002482 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4167 Roswell Rd Ne
Atlanta, GA 30342-3715
Phone: (404) 202-6501
Approximate (ZIP-level) locationGet directions
Mailing address
406 Long Branch Way
Canton, GA 30115-4594
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2009-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.