| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TANECIA MARSHIA BLUE | 1215218805 | 2024-03-10 |
Tanecia Marshia Blue is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215218805. Registration indicates Tanecia Marshia Blue is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Health, ) (Psychologist Health, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Tanecia Marshia Blue PHD |
| Practice Office Address | 459 PATTERSON RD HONOLULU, HI US |
| Practice Office Telephone | 8084330045 |
| Mailing Address | 459 PATTERSON RD HONOLULU, HI 968191522 US |
| Business Telephone | 8084330031 |
| Code | Practice | License No State |
|---|---|---|
| 103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | 001222
IA |
| 103TH0004X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Health Psychologist Health Behavioral Health & Social Service Providers Psychologist |