Shane Blume
Individual provider Active NPI Family Psychologist · Morehead, KY
NPI 1922581370 · NPPES record last updated Sep 12, 2018
Key facts
- NPI
- 1922581370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Psychologist 103TF0000X
- Practice address
- 316 E Main St
Morehead, KY 40351-1622 - Phone
- (606) 371-4002
- NPI assigned
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | Yes |
Addresses
Primary practice location
316 E Main St
Morehead, KY 40351-1622
Mailing address
316 E Main St
Morehead, KY 40351-1622
Other providers in Morehead, KY
- Olivia Blatt
- Emily Bausch Blevins
- Eleanor Blincoe
- Bluegrass Orthopaedics PSC
- Bluegrass Vision Group of Morehead PLLC
- Laurie Bobyack
- Jill Michelle Boggs
- Jordan Stacey Boggs
- Leann Marie Bordelon
- Stacy J Border
All providers in Morehead, KY · Family Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2018. 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.