| Doctor Name: | LYNDYL H BLAIS |
| NPI Number: | 1639318157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 04252 |
| Business Practice Address: | 11350 Mccormick Rd Suite 408 Hunt Valley, MD - 210311002 |
| Business Phone Number: | 4102923010 |
| Business Fax Number: | |
| Mailing Address: | 550 Rhapsody Ct, HUNT VALLEY |
| State: | MD |
| Postal Code: | 210301915 |
| Phone Number: | 4102923010 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2009 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 04252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |