Jacqueline Leah Bloom-Genevitz in Glendale - Psychologist
Jacqueline Leah Bloom-Genevitz - NPI 1073652327
Jacqueline Leah Bloom-Genevitz is a Psychologist in Glendale, California. Jacqueline Leah Bloom-Genevitz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jacqueline Leah Bloom-Genevitz is 1073652327. The last update date is 2022-05-19.
Jacqueline Leah Bloom-Genevitz's current location address is 464 S Central Ave, Glendale, California. You can contact this provider via phone number 3105821513. The mailing address for Jacqueline Leah Bloom-Genevitz is 464 S Central Ave, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Leah Bloom-Genevitz |
|---|---|
| Address | 464 S Central Ave, Glendale, California |
| Phone Number | 3105821513 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD, MFT |
NPI Number Detail
| NPI Number | 1073652327 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2022-05-19 |
Provider Mailing Address Detail
| Address | 464 S Central Ave |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912041602 |
| Phone Number | 3105821513 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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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What is the unique 10-digit identifier code assigned to Jacqueline Leah Bloom-Genevitz by the Centers for Medicare & Medicaid Services?
The Jacqueline Leah Bloom-Genevitz has been issued the NPI (National Provider Identifier) 1073652327 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jacqueline Leah Bloom-Genevitz is located?
The Jacqueline Leah Bloom-Genevitz is situated at the following address: 464 S Central Ave, Glendale, CA, 912041602.
What is Jacqueline Leah Bloom-Genevitz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline Leah Bloom-Genevitz's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Jacqueline Leah Bloom-Genevitz receive its 1073652327?
The Jacqueline Leah Bloom-Genevitz was issued its 1073652327 on 2007-02-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jacqueline Leah Bloom-Genevitz last refreshed?
The information related to the Jacqueline Leah Bloom-Genevitz, including its address, specialty, and other relevant details, was last updated on 2022-05-19.