Individual
LEAH BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
836 W 37TH ST, BALTIMORE, MD 21211-2232
(609) 903-9614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05536
MD
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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