| Allan A Bloom Phd | |
|
4000 Blue Ridge Rd. Suite 380 Raleigh NC 27612 | |
| (919) 787-7307 | |
| (919) 787-8414 |
| Full Name | Allan A Bloom Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4000 Blue Ridge Rd., Raleigh, North Carolina |
| Authorized Official Name and Position | Allan A Bloom (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9197877307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan A Bloom Phd 4000 Blue Ridge Rd. Suite 380 Raleigh NC 27612 Ph: (919) 787-7307 | Allan A Bloom Phd 4000 Blue Ridge Rd. Suite 380 Raleigh NC 27612 Ph: (919) 787-7307 |
| NPI Number | 1033454269 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033454269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | NC1519 (North Carolina) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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