Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY BLUME, LICSW
ActiveCognitive & Behavioral Psychologist · BURNSVILLE, MN
Registration Details
- NPI Number
- 1518067701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.615241276297 yrs)
- Last Updated
- Jul 9, 2007
- License
-
LICSW12647 (MN)
Practice Information
- Address
-
1523 HIGHWAY 13 EBURNSVILLE, MN, 553372917Browse MN providers · Browse ZIP 55337
- Phone
- 9528944828
- Fax
- 9528943737
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| PATRICIA MARY PETERSON | — | 1821166653 |
| GRACE RAASCH | — | 1487221792 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.