| Doctor Name: | KATHLEEN P. BLAIR |
| NPI Number: | 1164570305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | 073504-1 |
| Business Practice Address: | 85 S Union St Suite 206 Spencerport, NY - 145591255 |
| Business Phone Number: | 5857556205 |
| Business Fax Number: | |
| Mailing Address: | 4850 Ridge Rd W, SPENCERPORT |
| State: | NY |
| Postal Code: | 145591509 |
| Phone Number: | 5853520294 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 073504-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |