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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1871653311 | NPPES |
| Texas | MEDICAID | 180567302 |
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