Individual
MR. DAVID JONATHAN BLEECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
627 NORTH MORTON ST, STE 202, BLOOMINGTON, IN 47404-3750
(812) 323-2061
Mailing address
4217 EAST PENN COURT, BLOOMINGTON, IN 47408-3124
(812) 332-8975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040212
IN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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