Provider Demographics
NPI:1487091732
Name:BLAMOH, FRANCIS T JR
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:T
Last Name:BLAMOH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/S
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHS, MS, ABA
Mailing Address - Street 1:800 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3826
Mailing Address - Country:US
Mailing Address - Phone:610-938-9373
Mailing Address - Fax:
Practice Address - Street 1:800 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3826
Practice Address - Country:US
Practice Address - Phone:610-938-9373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health