Individual
DR. TRACY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
501 N FREDERICK AVE, GAITHERSBURG, MD 20877-2507
(240) 388-9409
Mailing address
23520 POCAHONTAS DR, GAITHERSBURG, MD 20882-3216
(240) 388-9409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06461
MD
Other
Enumeration date
11/13/2011
Last updated
07/06/2023
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