Blum, Leslie S.
Blum, Leslie S. is an individual health care provider with primary practice located at 3411 Terrapin Rd , Baltimore MD 21208-3128. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blum, Leslie S. can be contacted via phone (410) 486-3440.Contact Information
Primary practice address
3411 Terrapin Rd
Baltimore MD 21208-3128
Phone: (410) 486-3440
Fax: (410) 363-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 06471 | Maryland |
Profile Details
| NPI number | 1164493169 |
|---|---|
| LBN Legal business name | Blum, Leslie S. |
| Credentials | LCSW-C, BCD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | May 11th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164493169 | NPPES |
| Maryland | Other | PV40 | MAGELLAN |
| Maryland | Other | 074670 | MAGELLAN |
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