Bloom, Rachel
Bloom, Rachel is an sole proprietor health care provider with primary practice located at 17 Woodland Rd Fl 2 , Madison CT 06443-2342. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Rachel can be contacted via phone (617) 827-4534.Contact Information
Primary practice address
17 Woodland Rd Fl 2
Madison CT 06443-2342
Phone: (617) 827-4534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3507 | Connecticut |
Profile Details
| NPI number | 1679141022 |
|---|---|
| LBN Legal business name | Bloom, Rachel |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Jun 14th, 2021 - about 4 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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