Individual
MS. SUE ERIKSON BLOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 WEST 9TH STREET, SUITE 9E, NEW YORK, NY 10011-8920
(212) 982-0275
Mailing address
53 MAPLE AVENUE, APT 1B, HASTINGS ON HUDSON, NY 10706-1417
(914) 231-5548
(914) 231-5548
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
070129-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P731042
OXFORD
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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