Provider Demographics
NPI:1144329079
Name:FRANK B BLANCHE ASSOCIATES INC
Entity type:Organization
Organization Name:FRANK B BLANCHE ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT FRANK B BLANCHE ASSOCIATE
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:B
Authorized Official - Last Name:BLANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-337-2291
Mailing Address - Street 1:114 CROCKETT ROAD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406
Mailing Address - Country:US
Mailing Address - Phone:610-337-2291
Mailing Address - Fax:610-337-2296
Practice Address - Street 1:114 CROCKETT ROAD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406
Practice Address - Country:US
Practice Address - Phone:610-337-2291
Practice Address - Fax:610-337-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001378L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0476610000OtherBCBS
4221144OtherAETNA HEALTH
PA0476610000OtherBCBS