Susan Dorothy Blom in Cambridge - Psychologist
Susan Dorothy Blom - NPI 1700957842
Susan Dorothy Blom is a Psychologist in Cambridge, Minnesota. Susan Dorothy Blom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan Dorothy Blom is 1700957842. The last update date is 2007-07-08.
Susan Dorothy Blom's current location address is 825 Ashland St S, Cambridge, Minnesota. You can contact this provider via phone number 7636895250. The mailing address for Susan Dorothy Blom is 825 Ashland St S, Cambridge, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dorothy Blom |
|---|---|
| Address | 825 Ashland St S, Cambridge, Minnesota |
| Phone Number | 7636895250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700957842 |
|---|---|
| Provider Enumeration Date | 2006-11-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 825 Ashland St S |
|---|---|
| City | Cambridge |
| State | Minnesota (MN) |
| Post Code | 550082110 |
| Phone Number | 7636895250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1194 |
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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 |
|---|---|---|---|
| 52096BL | MN | BLUE CROSS BLUE SHIELD | |
| 61-21928 | MN | MEDICA | |
| 72233-1010048 | MN | PREFERRED ONE | |
| 114047 | MN | U CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Dorothy Blom by the Centers for Medicare & Medicaid Services?
The Susan Dorothy Blom has been assigned the NPI (National Provider Identifier) 1700957842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Susan Dorothy Blom's physical address?
The Susan Dorothy Blom is physically located at 825 Ashland St S, in the city of Cambridge, MN, with the postal code 550082110.
What is Susan Dorothy Blom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Dorothy Blom is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Susan Dorothy Blom receive the assignment of its 1700957842 from the Centers for Medicare & Medicaid Services?
The Susan Dorothy Blom was issued its 1700957842 by the Centers for Medicare & Medicaid Services on 2006-11-12.
As of what date were the details related to Susan Dorothy Blom most recently updated or revised?
The information pertaining to Susan Dorothy Blom, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY