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:
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Health care specialties

SpecialtyCodeLicense #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 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 1164493169 NPPES
Maryland Other PV40 MAGELLAN
Maryland Other 074670 MAGELLAN

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