Individual
JULIANNA S BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Mailing address
3440 MARKET ST, SUITE 410, PHILADELPHIA, PA 19104-3325
(215) 590-7532
(215) 590-4251
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS016328
PA
103T00000X
Psychologist
PS016328
PA
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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