NPI | 1033454269 |
---|---|
Doing Business As | ALLAN A BLOOM PHD |
Entity Type | Organization |
Authorized Contact | ALLAN A BLOOM Licensed Psychologist 919-787-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC NC1519) |
Additional Taxonomies | 103TC0700X Psychologist Clinical |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-11-28 |