William Bloom is a Psychologist in Troy, Michigan. William Bloom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for William Bloom is 1083627947. The last update date is 2007-07-08.
William Bloom's current location address is 2855 Coolidge Highway, Troy, Michigan. You can contact this provider via phone number 2486499202 and fax number 2486498922. The mailing address for William Bloom is 2855 Coolidge Highway, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Bloom |
|---|---|
| Address | 2855 Coolidge Highway, Troy, Michigan |
| Phone Number | 2486499202 |
| Fax Number | 2486498922 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1083627947 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2855 Coolidge Highway |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 48084 |
| Phone Number | 2486499202 |
| Fax Number | 2486498922 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301006833 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 620F34877 | MI | BCBS |
Post Comment/ Review Below
What is the William Bloom's 1083627947?
The William Bloom's NPI (National Provider Identifier) Number is 1083627947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of William Bloom?
The William Bloom is physically situated at 2855 Coolidge Highway, in the city of Troy, state of MI, with the postal code 48084.
What is the William Bloom's specialty and taxonomy code?
The William Bloom's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did William Bloom receive its 1083627947 assignment from the Centers for Medicare & Medicaid Services?
The William Bloom was assigned its 1083627947 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding William Bloom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William Bloom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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