Provider Demographics
NPI:1932292083
Name:BLANDO, BARBARA LEE (MSW LMSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LEE
Last Name:BLANDO
Suffix:
Gender:F
Credentials:MSW LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 DEL MATRO AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50311
Mailing Address - Country:US
Mailing Address - Phone:515-279-2320
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:DES MOINES VAMC
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:515-699-5454
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801081274104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker