Bloom, Stuart

Bloom, Stuart is an sole proprietor health care provider with primary practice located at 1395 Cerritos Dr , Laguna Beach CA 92651-2816. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bloom, Stuart can be contacted via phone (949) 497-6767.

Contact Information

Primary practice address
1395 Cerritos Dr Laguna Beach CA 92651-2816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT12112 California

Profile Details

NPI number 1194919670
LBN Legal business name Bloom, Stuart
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 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.

Request for update

Popular Providers