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Organization

ALLAN A BLOOM PHD & ASSOCIATES

Active
Other names
Allan A Bloom PhD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN A BLOOM PHD (LICENSED PSYCHOLOGIST)
(919) 787-7307
Entity
Organization

Contact information

Practice address
4000 BLUE RIDGE RD., SUITE 380, RALEIGH, NC 27612
(919) 787-7307
(919) 787-8414
Mailing address
4000 BLUE RIDGE RD., SUITE 380, RALEIGH, NC 27612
(919) 787-7307
(919) 787-8414

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NC1519
NC
103TC0700X
Clinical Psychologist

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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