| NPI | 1730425257 |
|---|---|
| Doing Business As | BLOOM PSYCHOLOGY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TARBOX BOODRO Owner/President 317-771-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20042417A) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2023-04-10 |