Individual
DR. MIRIAM BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3225 INTERNATIONAL CIR STE 102, COLORADO SPRINGS, CO 80910-3161
(719) 471-1466
Mailing address
PO BOX 62595, COLORADO SPRINGS, CO 80962-2595
(719) 531-6078
(719) 531-5767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1167
CO
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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