Individual
BARBARA M BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5932 E PHELPS RD, SCOTTSDALE, AZ 85254-9223
(248) 396-1500
Mailing address
5932 E PHELPS RD, SCOTTSDALE, AZ 85254-9223
(248) 396-1500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6595
AZ
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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