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Contact Information

CAROL S BLUM, PHD
6610 VISTA DEL REINO
LAS CRUCES, NM88007-8920
 Phone: 575-556-9493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROL S BLUM · (Female)

NPI Number 1548326457
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/28/2006
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # 1486
  • MT License # 257
  • NM License # 1476
  • MT Medicaid 490165
  • MT Medicaid 492921
  • MT Other 50771 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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