Bloom, Tina

Bloom, Tina is an sole proprietor health care provider with primary practice located at 3512 Quentin Rd Suite 110 Che Services , Brooklyn NY 11234. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bloom, Tina can be contacted via phone (800) 275-3243.

Contact Information

Primary practice address
3512 Quentin Rd Suite 110 Che Services Brooklyn NY 11234
Phone: (800) 275-3243
Fax: (855) 688-6746
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC - 004932 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X 020552-1 New York

Profile Details

NPI number 1437301710
LBN Legal business name Bloom, Tina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2008
Last updated Sep 25th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437301710 NPPES
Pennsylvania Other PC - 004932 LICENSED PROFESSIONAL COUNSELOR

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