Karen Susan Blum, PH.D.
Individual provider Active NPI Clinical Psychologist · Amherst, MA
NPI 1508081191 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508081191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7672 (MA)
- Practice address
- 27 Tanglewood Rd
Amherst, MA 01002-3407 - Phone
- (413) 253-1710
- Fax
- (413) 253-1718
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7672 | MA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7672 | MA | Yes |
Addresses
Primary practice location
27 Tanglewood Rd
Amherst, MA 01002-3407
Mailing address
27 Tanglewood Rd
Amherst, MA 01002-3407
Phone (413) 253-1710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06540 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Amherst, MA
- Marcia Gail Black
- Emily Bloch
- Lynette Bloise
- Peter Mitchell Blood
- Frederick H Bloom
- Katherine Elizabeth Bohne
- Michelle Boisvert
- Ellen Bollier
- Jesse Bona
- Allison C Boothby
All providers in Amherst, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.