Bloom, Judith F.
Bloom, Judith F. is an individual health care provider with primary practice located at 20 Research Pkwy Suite C, Old Saybrook CT 06475-4214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Judith F. can be contacted via phone (800) 370-3651.Contact Information
Primary practice address
20 Research Pkwy Suite C
Old Saybrook CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01344 | Rhode Island |
Profile Details
| NPI number | 1497810683 |
|---|---|
| LBN Legal business name | Bloom, Judith F. |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Aug 9th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497810683 | NPPES |
| Other | 413409 | BLUE CHIP | |
| Other | 1021740 | BLUE CHIP | |
| Other | 31344-7 | BLUE CHIP | |
| MEDICAID | JB01344 | BLUE CHIP |
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