Individual
DR. HAROLD RAYMOND BLOSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
11 THE PINES CT, SUITE E, SAINT LOUIS, MO 63141-6197
(636) 230-4756
(636) 227-2557
Mailing address
2368 FAIRWOOD FOREST CT, CHESTERFIELD, MO 63017-7366
(636) 230-4756
(636) 227-2557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00484
MO
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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