| 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 |