Andrea L Bloomgarden in Philadelphia - Clinical
Andrea L Bloomgarden - NPI 1316983380
Andrea L Bloomgarden is a Clinical in Philadelphia, Pennsylvania. Andrea L Bloomgarden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea L Bloomgarden is 1316983380. The last update date is 2023-12-06.
Andrea L Bloomgarden's current location address is 709 S Mildred St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155451175 and fax number 2155924190. The mailing address for Andrea L Bloomgarden is 709 S Mildred St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea L Bloomgarden |
|---|---|
| Address | 709 S Mildred St, Philadelphia, Pennsylvania |
| Phone Number | 2155451175 |
| Fax Number | 2155924190 |
| Sole Proprietor | N |
| Credentials | PH D |
NPI Number Detail
| NPI Number | 1316983380 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 709 S Mildred St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191472041 |
| Phone Number | 2155451175 |
| Fax Number | 2155924190 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 012038 1 |
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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 |
|---|---|---|---|
| 2128973000 | KEYSTONE | ||
| 7732066 | AETNA | ||
| 156288000 | MAGELLAN | ||
| 2128973000 | PERSONAL CHOICE | ||
| 2128973000 | IBC | ||
| 1471004 | HIGHMARK BLUE CROSS PPO |
Post Comment/ Review Below
What is the Andrea L Bloomgarden's 1316983380?
The Andrea L Bloomgarden's NPI (National Provider Identifier) Number is 1316983380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Andrea L Bloomgarden is geographically located?
The Andrea L Bloomgarden is physically situated at the following location: 709 S Mildred St, Philadelphia, PA, 191472041.
What is Andrea L Bloomgarden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrea L Bloomgarden is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1316983380 assigned to Andrea L Bloomgarden?
The Andrea L Bloomgarden was issued its 1316983380 on 2006-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Andrea L Bloomgarden, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrea L Bloomgarden, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-12-06.