Bland, Reginald Eric

Bland, Reginald Eric is an individual health care provider with primary practice located at 100 W Walnut St Ste 375 , Pasadena CA 91124-2074. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bland, Reginald Eric can be contacted via phone (626) 395-7100.

Contact Information

Primary practice address
100 W Walnut St Ste 375 Pasadena CA 91124-2074
Phone: (626) 395-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 123696 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT123696 California

Profile Details

NPI number 1184967101
LBN Legal business name Bland, Reginald Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Jan 5th, 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 1184967101 NPPES
California Other 123696 CALIFORNIA BOARD OF BEHAVIORAL SCIENCES

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