Dolan-Blubaugh, Debora Rose
Dolan-Blubaugh, Debora Rose is an individual health care provider with primary practice located at 107 N Monroe St , Media PA 19063-3037. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dolan-Blubaugh, Debora Rose can be contacted via phone (610) 891-6846.Contact Information
Primary practice address
107 N Monroe St
Media PA 19063-3037
Phone: (610) 891-6846
Fax: (610) 274-0226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW012623 | Pennsylvania |
Profile Details
| NPI number | 1962469965 |
|---|---|
| LBN Legal business name | Dolan-Blubaugh, Debora Rose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1962469965 | NPPES |
| Pennsylvania | MEDICAID | 01648128 |
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