Provider Demographics
NPI:1144039025
Name:BLAU, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:BLAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 BUCK HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-2519
Mailing Address - Country:US
Mailing Address - Phone:845-323-7223
Mailing Address - Fax:
Practice Address - Street 1:54 BUCK HOLLOW DR
Practice Address - Street 2:
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817-2519
Practice Address - Country:US
Practice Address - Phone:845-323-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling