Bloom, Linda
Bloom, Linda is an individual health care provider with primary practice located at 330 S Whitney Way Suite 304, Madison WI 53705-4638. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bloom, Linda can be contacted via phone (608) 231-3191.Contact Information
Primary practice address
330 S Whitney Way Suite 304
Madison WI 53705-4638
Phone: (608) 231-3191
Fax: (608) 231-3108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 990-057 | Wisconsin |
Profile Details
| NPI number | 1174530661 |
|---|---|
| LBN Legal business name | Bloom, Linda |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 29th, 2012 - about 13 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 | 1174530661 | NPPES |
| Wisconsin | MEDICAID | 38047900 |
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