Bloomwald, Tobi E.

Bloomwald, Tobi E. is an individual health care provider with primary practice located at 200 Copeland Dr , Mansfield MA 02048-1225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloomwald, Tobi E. can be contacted via phone (508) 339-4144.

Contact Information

Primary practice address
200 Copeland Dr Mansfield MA 02048-1225
Fax: (508) 261-9940
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110143 Massachusetts

Profile Details

NPI number 1790939890
LBN Legal business name Bloomwald, Tobi E.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Nov 16th, 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 1790939890 NPPES
Massachusetts MEDICAID 1309161

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