Individual
DR. ALLAN ALBERT BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4000 BLUE RIDGE RD, SUITE 380, RALEIGH, NC 27612-4650
(919) 787-7307
(919) 787-8414
Mailing address
4000 BLUE RIDGE RD, SUITE 380, RALEIGH, NC 27612-4650
(919) 787-7307
(919) 787-8414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1519
NC
Other
Enumeration date
08/10/2006
Last updated
07/09/2007
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