Organization
DEEP BLUE CLINICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BLUMENTHAL (PSYCHOTHERAPIST)
(443) 377-1507
Entity
Organization
Contact information
Practice address
30 E PADONIA RD STE 202, TIMONIUM, MD 21093-2308
(443) 377-1507
Mailing address
211 PAULINE DR # 1087, YORK, PA 17402-4637
(443) 377-1507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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