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DR. MICHELE LORRAINE BLUME PSY.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1952557670

Individual Registrant:
DR. MICHELE LORRAINE BLUME PSY.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
2200 PACIFIC COAST HWY STE 215  HERMOSA BEACH, CA 90254-2701 US
Tel: 714-357-6500  Fax: 714-357-6500

Contact information for business:
18851 COUNTRY CLUB LN  YORBA LINDA, CA 92886-4202 US
Tel: 714-357-6500  Fax: --

Registration Information:
NPI: 1952557670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY24331

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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