Individual
ELENA GOLDBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
444 S STATE ST, NEWTOWN, PA 18940-1945
(267) 755-9333
Mailing address
342 LEEDOM WAY # 50, NEWTOWN, PA 18940-2332
(267) 566-6118
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093339624
—
PA
Enumeration date
09/23/2022
Last updated
09/23/2022
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