Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Pavel S. Blagov, PHD

Individual provider Clinical Psychologist · NPI 1346515541

Dr. Pavel S. Blagov, PHD is a Clinical Psychologist in Walla Walla, Washington. Qualified in 2009, 17 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

409 E Sumach St Ste 3
Walla Walla, WA 99362-1202
Phone: (509) 876-1793
Fax: (877) 991-1631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY60236271 (WA)

Record details

NPI number1346515541
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 20, 2012
Last updated in NPPESSeptember 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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