Provider Demographics
NPI:1891313433
Name:BLEDMAN PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:BLEDMAN PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOLGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHANTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-892-6833
Mailing Address - Street 1:9766 WHISKEY RUN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1433
Mailing Address - Country:US
Mailing Address - Phone:323-397-9377
Mailing Address - Fax:
Practice Address - Street 1:1350 CONNECTICUT AVE NW STE 602
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1716
Practice Address - Country:US
Practice Address - Phone:301-892-6833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health