Individual
FREDERICK M BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT, PHD.
Contact information
Practice address
16955 LEMON ST, HESPERIA, CA 92345-5139
(760) 947-8223
(760) 947-8225
Mailing address
401 SANDALWOOD DR, CALIMESA, CA 92320-1634
(951) 533-7467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23388
CA
106H00000X
Marriage & Family Therapist
MFC 23846
CA
Other
Enumeration date
09/11/2007
Last updated
06/07/2023
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