In Bloom Behavioral Health Care

NPI 1104053008 - Psychologist - 103TC0700X

NPI Details
NPI 1104053008
Enumeration Date 06/18/2009
Last Updated 06/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CINDY H CINDY
Position OWNER
Phone (540) 887-2847
Fax (540) 887-2848
Practice Location
15 TERRY CT
SUITE D
STAUNTON VA, 24401-2568, US
Phone (540) 887-2847
Fax (540) 887-2848
Business Location
15 TERRY CT
SUITE D
STAUNTON VA, 24401-2568, US
Phone (540) 887-2847
Fax (540) 887-2848
Toxanomy
Taxonomy Code 103TC0700X
License State Virginia
License Number 0015000751
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According to our database, In Bloom Behavioral Health Care NPI is 1104053008, taxonomy code is 103TC0700X and license number is 0015000751, license state is located at Virginia. In Bloom Behavioral Health Care physically located at 15 Terry Ct, Staunton VA, 24401-2568. NPI Number 1033115704 has the healthcare provider type.

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1104053008 NPI number is provided on an as is basis without warranty of any kind. 1104053008 is maintained by the National Plan & Provider Enumeration System. The contents of In Bloom Behavioral Health Care are for informational purposes only.