Michelle S Wolf-Bloom in San Jose - Clinical
Michelle S Wolf-Bloom - NPI 1396884789
Michelle S Wolf-Bloom is a Clinical in San Jose, California. Michelle S Wolf-Bloom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle S Wolf-Bloom is 1396884789. The last update date is 2022-01-03.
Michelle S Wolf-Bloom's current location address is 275 Hospital Pkwy, San Jose, California. You can contact this provider via phone number 4089727000. The mailing address for Michelle S Wolf-Bloom is 275 Hospital Pkwy, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle S Wolf-Bloom |
|---|---|
| Address | 275 Hospital Pkwy, San Jose, California |
| Phone Number | 4089727000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396884789 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 275 Hospital Pkwy |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 9511911060 |
| Phone Number | 4089727000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16688 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY16688 | CA | PSYCHOLOGIST LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michelle S Wolf-Bloom by the Centers for Medicare & Medicaid Services?
The Michelle S Wolf-Bloom has been issued the NPI (National Provider Identifier) 1396884789 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michelle S Wolf-Bloom is physically located?
The Michelle S Wolf-Bloom is physically situated at the following address: 275 Hospital Pkwy, San Jose, CA, 9511911060.
What is Michelle S Wolf-Bloom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle S Wolf-Bloom's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396884789 to Michelle S Wolf-Bloom?
The Centers for Medicare & Medicaid Services assigned the 1396884789 to Michelle S Wolf-Bloom on 2007-02-05.
As of what date were the details pertaining to Michelle S Wolf-Bloom last refreshed?
The information related to the Michelle S Wolf-Bloom, including its address, specialty, and other relevant details, was last updated on 2022-01-03.