Jerry Blume, LICSW
NPI #1518067701 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1518067701
- Entity Type
- Individual
- Name
- Jerry Blume, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Credential
- LICSW
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1523 HIGHWAY 13 E
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-2917
- Phone
- (952) 894-4828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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