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Contact Information

BLUE BALLOON MD LLC
500 REDLAND CT STE 102
OWINGS MILLS, MD21117-3265
 Phone: 201-216-9500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for BLUE BALLOON MD LLC

NPI # 1386212157
LBN Legal business name BLUE BALLOON MD LLC
Authorized official DAVID SUSSMAN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2021
Last updated 06/18/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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