Blum, Nancy A

Blum, Nancy A is an sole proprietor health care provider with primary practice located at 15915 Ventura Blvd Ste 202 , Encino CA 91436-4433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blum, Nancy A can be contacted via phone (818) 996-7579.

Contact Information

Primary practice address
15915 Ventura Blvd Ste 202 Encino CA 91436-4433
Phone: (818) 996-7579
Fax: (818) 671-3502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14122 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14122 California

Profile Details

NPI number 1265438451
LBN Legal business name Blum, Nancy A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jan 18th, 2021 - about 4 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 1265438451 NPPES
California Other PSY14122 CA LICENSE #
California MEDICAID PSY141220 CA LICENSE #

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