Individual
STEVEN GERALD BLAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE, CAMP LEJEUNE, NC 28547
(910) 449-6500
Mailing address
503 EDGEWOOD RD, ATHENS, GA 30606-6534
(706) 546-9636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003000
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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