Rashanta Aneisha Bledman, PH.D.
Individual provider Active NPI Psychologist · College Park, MD
NPI 1609317650 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1609317650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 05256 (MD)
- Practice address
- 4281 Chapel LN
1216 Shoemaker Building
College Park, MD 20742-0001 - Phone
- (301) 892-6833
- NPI assigned
- Mar 10, 2017
- 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 |
|---|---|---|---|
| 05256 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05256 | MD | Yes |
Addresses
Primary practice location
4281 Chapel LN
1216 Shoemaker Building
College Park, MD 20742-0001
Mailing address
4281 Chapel LN
1216 Shoemaker Building
College Park, MD 20742-0001
Phone (301) 892-6833
Other providers in College Park, MD
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- Sacared Bodison
- Samuel Moliko Bokusu
- Shannon Gehnai Bolden
All providers in College Park, MD · Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. 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.