Individual
DR. NANCY LEE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
338 ADELPHIA RD, FARMINGDALE, NJ 07727-3527
(732) 539-5586
(732) 938-5220
Mailing address
338 ADELPHIA RD, FARMINGDALE, NJ 07727-3527
(732) 539-5586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4299
NJ
Other
Enumeration date
04/16/2007
Last updated
10/19/2010
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