Individual
DR. LISA H BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2518 STONE CLIFF DR, BALTIMORE, MD 21209-3733
(310) 351-4460
Mailing address
2518 STONE CLIFF DR, BALTIMORE, MD 21209-3733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
021807
NY
103TC0700X
Clinical Psychologist
Primary
05823
MD
103TC0700X
Clinical Psychologist
0810005339
VA
Other
Enumeration date
11/07/2016
Last updated
01/15/2021
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