Bland, Deborah L

Bland, Deborah L is an individual health care provider with primary practice located at 106 Elderberry Cv , Georgetown TX 78633-4726. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bland, Deborah L can be contacted via phone (512) 429-2179.

Contact Information

Primary practice address
106 Elderberry Cv Georgetown TX 78633-4726
Phone: (512) 429-2179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12484 Texas

Profile Details

NPI number 1871653311
LBN Legal business name Bland, Deborah L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871653311 NPPES
Texas MEDICAID 180567302

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