Bloom, Marlene R.

Bloom, Marlene R. is an individual health care provider with primary practice located at 10909 Memorial Hwy , Tampa FL 33615-2511. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bloom, Marlene R. can be contacted via phone (813) 864-1404.

Contact Information

Primary practice address
10909 Memorial Hwy Tampa FL 33615-2511
Phone: (813) 864-1404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6043 Florida

Profile Details

NPI number 1073652970
LBN Legal business name Bloom, Marlene R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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