| Doctor Name: | THOMAS W.C. BLASH |
| NPI Number: | 1508806613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D |
| License Number: | PS003255L |
| Business Practice Address: | 8200 Flourtown Ave Suite 8 Wyndmoor, PA - 190387976 |
| Business Phone Number: | 2152333994 |
| Business Fax Number: | 2152333997 |
| Mailing Address: | 8200 Flourtown Ave, Suite 8 WYNDMOOR |
| State: | PA |
| Postal Code: | 190387976 |
| Phone Number: | 2152333994 |
| Fax Number: | 2152333997 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS003255L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |