Provider Demographics
NPI:1679765135
Name:BLANCHET, ANNABELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNABELLE
Middle Name:
Last Name:BLANCHET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4700 WISSAHICKON AVE
Mailing Address - Street 2:STE 118 BLDG D
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4248
Mailing Address - Country:US
Mailing Address - Phone:267-597-3654
Mailing Address - Fax:267-597-3622
Practice Address - Street 1:4700 WISSAHICKON AVE
Practice Address - Street 2:STE 118 BLDG D
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-4248
Practice Address - Country:US
Practice Address - Phone:267-597-3654
Practice Address - Fax:267-597-3622
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2013-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4317892084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry