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Organization
SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC
Active
Organization
SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC
Active
Other names
Heathen Health Cole
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIELY HERNANDEZ PHD (MEMBER & CLINICAL PSYCHOLOGIST)
(646) 632-2324
Entity
Organization
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(646) 632-2324
Mailing address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(646) 632-2324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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