Bloom, Robert

Bloom, Robert is an individual health care provider with primary practice located at 5384 Poplar Ave Suite 313, Memphis TN 38119-3609. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloom, Robert can be contacted via phone (901) 521-9671.

Contact Information

Primary practice address
5384 Poplar Ave Suite 313 Memphis TN 38119-3609
Phone: (901) 521-9671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0376 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04-4P Arkansas

Profile Details

NPI number 1730161910
LBN Legal business name Bloom, Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
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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