Blood, Tracy
Blood, Tracy is an individual health care provider with primary practice located at 11120 New Hampshire Ave Suite # 204, Silver Spring MD 20904-2633. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blood, Tracy can be contacted via phone (301) 593-1315.Contact Information
Primary practice address
11120 New Hampshire Ave Suite # 204
Silver Spring MD 20904-2633
Phone: (301) 593-1315
Fax: (301) 681-4699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 04991 | Maryland |
Profile Details
| NPI number | 1013280015 |
|---|---|
| LBN Legal business name | Blood, Tracy |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2012 |
| Last updated | Feb 22nd, 2012 - about 13 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 | 1013280015 | NPPES |
| Maryland | Other | 12329271 | CAQH |
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