Larry Jay Bloom in Ft Collins - Health Service
Larry Jay Bloom - NPI 1407878051
Larry Jay Bloom is a Health Service in Ft Collins, Colorado. Larry Jay Bloom practices all healthcare services and medical treatments related to Health Service. The NPI Number for Larry Jay Bloom is 1407878051. The last update date is 2010-07-28.
Larry Jay Bloom's current location address is Of Psychology Colorado State University, Ft Collins, Colorado. You can contact this provider via phone number 9704915214. The mailing address for Larry Jay Bloom is Of Psychology Colorado State University, Ft Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Jay Bloom |
|---|---|
| Address | Of Psychology Colorado State University, Ft Collins, Colorado |
| Phone Number | 9704915214 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407878051 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2010-07-28 |
Provider Mailing Address Detail
| Address | Of Psychology Colorado State University |
|---|---|
| City | Ft Collins |
| State | Colorado (CO) |
| Post Code | 805230001 |
| Phone Number | 9704915214 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 500 |
|
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique 10-digit identifier code issued to Larry Jay Bloom by the Centers for Medicare & Medicaid Services?
The Larry Jay Bloom has been assigned the NPI (National Provider Identifier) 1407878051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Larry Jay Bloom's physical address?
The Larry Jay Bloom is physically located at Of Psychology Colorado State University, in the city of Ft Collins, CO, with the postal code 805230001.
What is Larry Jay Bloom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Jay Bloom is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.
On what date did Larry Jay Bloom receive its 1407878051 assignment from the Centers for Medicare & Medicaid Services?
The Larry Jay Bloom was assigned its 1407878051 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Jay Bloom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Jay Bloom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-28.
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