Bloom, Larry Jay

Bloom, Larry Jay is an sole proprietor health care provider with primary practice located at Of Psychology Colorado State University , Ft Collins CO 80523-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Bloom, Larry Jay can be contacted via phone (970) 491-5214.

Contact Information

Primary practice address
Of Psychology Colorado State University Ft Collins CO 80523-0001
Phone: (970) 491-5214
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 500 Colorado

Profile Details

NPI number 1407878051
LBN Legal business name Bloom, Larry Jay
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 28th, 2010 - about 14 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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