Bloom, Tracy
Bloom, Tracy is an sole proprietor health care provider with primary practice located at 501 N Frederick Ave , Gaithersburg MD 20877-2507. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Tracy can be contacted via phone (240) 388-9409.Contact Information
Primary practice address
501 N Frederick Ave
Gaithersburg MD 20877-2507
Phone: (240) 388-9409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06461 | Maryland |
Profile Details
| NPI number | 1386921765 |
|---|---|
| LBN Legal business name | Bloom, Tracy |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2011 |
| Last updated | Jul 6th, 2023 - about 2 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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