Organization
BLOOM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ORSATTI WEISSFLOG MSN, CRNP (CEO)
(610) 564-0630
Entity
Organization
Contact information
Practice address
145 LITTLE CONESTOGA RD, CHESTER SPRINGS, PA 19425-9562
(215) 359-5091
Mailing address
145 LITTLE CONESTOGA RD, CHESTER SPRINGS, PA 19425-9562
(215) 359-5091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Enumeration date
03/10/2021
Last updated
10/17/2023
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