Doctor Name: | DANIEL K BLUMENTHAL |
NPI Number: | 1063761401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LGPC |
License Number: | |
Business Practice Address: | 900 S Main St Bldg A Suite 105 Bel Air, MD - 210145447 |
Business Phone Number: | 4108522835 |
Business Fax Number: | |
Mailing Address: | 900 S Main St Bldg A, Suite 105 BEL AIR |
State: | MD |
Postal Code: | 210145447 |
Phone Number: | 4108522835 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |