Individual
TRACY BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE # 204, SILVER SPRING, MD 20904-2633
(301) 593-1315
(301) 681-4699
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE # 204, SILVER SPRING, MD 20904
(301) 593-1315
(301) 681-4699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12329271
CAQH
MD
Enumeration date
02/22/2012
Last updated
02/22/2012
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