Bloom, Jan Hettie
Bloom, Jan Hettie is an sole proprietor health care provider with primary practice located at 4 - 8 Hartford Street , Newton Highlands MA 02461-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bloom, Jan Hettie can be contacted via phone (617) 243-6327.Contact Information
Primary practice address
4 - 8 Hartford Street
Newton Highlands MA 02461-1913
Phone: (617) 243-6327
Fax: (617) 244-4558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3381 | Massachusetts |
Profile Details
| NPI number | 1184724783 |
|---|---|
| LBN Legal business name | Bloom, Jan Hettie |
| Credentials | PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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