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Individual
DR. STEPHEN H BLUM
Active
Individual
DR. STEPHEN H BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0648
KS
103T00000X
Psychologist
PYR0251
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238790A
—
KS
01
—
15917014
MO BCBS NUMBER
MO
Enumeration date
06/10/2005
Last updated
08/01/2012
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