Mrs Lynda Shane Blasko, PHD - Counselor in Atlanta, GA

Mrs Lynda Shane Blasko, PHD is a Psychologist based in Atlanta, Georgia. Mrs Lynda Shane Blasko is licensed to practice in Georgia (license number 004067) and her current practice location is 1409 North Highland Avenue, Suite J, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 908-1773.

NPI number for Mrs Lynda Shane Blasko is 1083937874 and her current mailing address is 1290 Oaklawn Avenue Ne, Brookhaven, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083937874.

Contact Information

Mrs Lynda Shane Blasko, PHD
1409 North Highland Avenue, Suite J,
Atlanta, GA 30306
(404) 908-1773
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Lynda Shane Blasko
GenderFemale
SpecialityPsychologist
Location1409 North Highland Avenue, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083937874
  • Provider Enumeration Date: 03/08/2010
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mrs Lynda Shane Blasko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083937874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103TC1900XPsychologist - Counseling 004067 (Georgia)Secondary
103T00000XPsychologist 004067 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lynda Shane Blasko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lynda Shane Blasko, PHD
1290 Oaklawn Avenue Ne,
Brookhaven, GA 30319

Ph: (404) 908-1773
Mrs Lynda Shane Blasko, PHD
1409 North Highland Avenue, Suite J,
Atlanta, GA 30306

Ph: (404) 908-1773

Reviews and Comments


Psychologist in Atlanta, GA


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