Individual
MISS SYLVIA N/A BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS CREDENTIAL
Contact information
Practice address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
Mailing address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
140077321
CA
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
08/08/2024
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