Individual
DR. JILL BETZ BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
33 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 731-8968
Mailing address
33 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 734-3243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3168
MA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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