| Deborah L Bland Lcsw Pllc | |
|
106 Elderberry Cv Georgetown TX 78633-4726 | |
| (512) 429-2179 | |
| Not Available |
| Full Name | Deborah L Bland Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 106 Elderberry Cv, Georgetown, Texas |
| Authorized Official Name and Position | Deborah L Bland (OWNER) |
| Authorized Official Contact | 5127605922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L Bland Lcsw Pllc 112 Kerley Dr Hutto TX 78634-4346 Ph: (512) 760-5922 | Deborah L Bland Lcsw Pllc 106 Elderberry Cv Georgetown TX 78633-4726 Ph: (512) 429-2179 |
| NPI Number | 1700445905 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 1456688605 |
|---|---|
| Medicare Enrollment ID | O20190809001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700445905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah L Bland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871653311 PECOS PAC ID: 6608803804 Enrollment ID: I20050719001275 |
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