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DR. MICHELLE BLOSE PSYD
NPI 1750995114
Clinical Neuropsychologist in Pineville, LA

Active since September 03, 2020
2495 SHREVEPORT HWY, PINEVILLE, LA 71360(318) 473-0010 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2024, Jul 28, 2021, Apr 20, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Michelle Blose Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE BLOSE PSYD (NPI 1750995114) is an individual clinical neuropsychologist in Pineville, Louisiana, licensed in New Jersey (35SI00757700) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1750995114
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. MICHELLE BLOSECredential: PSYD
Location Address2495 SHREVEPORT HWYPineville, LA 71360-4044
Mailing Address2495 Shreveport HwyPineville, LA 71360-4044
Phone(318) 473-0010
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
Last NPPES UpdateJanuary 16, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1750995114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NJ · 35SI00757700
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 203-032 (NJ)
2495 SHREVEPORT HWY, Pineville, LA 71360
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER JOANE OATES LCSW
Social Worker
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-4105
MS. CAROLYN H. FORCH
Rehabilitation Counselor
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
DR. RANDY SCOTT FAECHER D.M.D.
Dentist
2495 SHREVEPORT HWY, DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE, LA 71360
Rapides Parish (318) 466-2567
MR. MICHAEL ROACH LCSW
Social Worker (Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MR. JOHNNY KEITH EUBANKS
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MRS. MONICA P NOBLES P.T.
Physical Therapist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
GILDA MARIE JEFFERSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-2575
DR. LALITHA ALLA MD
Psychiatry & Neurology (Psychiatry)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Blose's NPI number?

The NPI number for Michelle Blose is 1750995114. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Michelle Blose located?

Michelle Blose practices at 2495 Shreveport Hwy, Pineville, LA 71360. The listed phone number is (318) 473-0010.

What is Michelle Blose's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Michelle Blose was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.