Individual
DR. LISA D. BLOOM-CHARETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 SPRINGS RD, 116B, BEDFORD, MA 01730-1114
(781) 687-2669
(781) 687-3025
Mailing address
182 NORTH RD, BEDFORD, MA 01730-1024
(781) 275-8530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5095
MA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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