Organization
THRIVE PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KLOSTER PH.D. (MEMBER)
(562) 706-5175
Entity
Organization
Contact information
Practice address
4120 W DRESDEN DR, BLOOMINGTON, IN 47404-8403
(562) 706-5175
Mailing address
3210 E 10TH ST UNIT 5163, BLOOMINGTON, IN 47408-2753
(562) 706-5175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/13/2018
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