Organization
BLOSSOM PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRNA T MERINO PH.D. (CEO)
(805) 666-9032
Entity
Organization
Contact information
Practice address
3652 JELLYFISH LN, OXNARD, CA 93035-3049
(805) 666-9032
Mailing address
3652 JELLYFISH LN, OXNARD, CA 93035-3049
(805) 666-9032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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