William Bloom PHD

NPI 1083627947 - Psychologist - 103T00000X

NPI Details
NPI 1083627947
Gender Male
Enumeration Date 08/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2855 COOLIDGE HIGHWAY
SUITE 101
TROY MI, 48084, US
Phone (248) 649-9202
Fax (248) 649-8922
Business Location
2855 COOLIDGE HIGHWAY
SUITE 101
TROY MI, 48084, US
Phone (248) 649-9202
Fax (248) 649-8922
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301006833
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According to our database, Dr. William Bloom PHD NPI is 1083627947, taxonomy code is 103T00000X and license number is 6301006833, license state is located at Michigan. William Bloom PHD physically located at 2855 Coolidge Highway, Troy MI, 48084. NPI Number William Bloom PHD has the Individual type.

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1083627947 NPI number is provided on an as is basis without warranty of any kind. 1083627947 is maintained by the National Plan & Provider Enumeration System. The contents of William Bloom PHD are for informational purposes only.