Provider Demographics
NPI:1437991692
Name:BLUE, JAMES (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:BLUE
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 1:356 NEPONSET ST APT L
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1952
Mailing Address - Country:US
Mailing Address - Phone:763-443-6120
Mailing Address - Fax:
Practice Address - Street 1:231 FOREST ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY HLS
Practice Address - State:MA
Practice Address - Zip Code:02481-6839
Practice Address - Country:US
Practice Address - Phone:781-239-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10000135103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical