Individual
DR. MELINDA LUANNE BLOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 N WOOD RD, MURPHYSBORO, IL 62966-6290
(618) 457-6443
(618) 351-1419
Mailing address
1400 N WOOD RD, MURPHYSBORO, IL 62966-6290
(618) 457-6443
(618) 351-1419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004937
IL
Other
Enumeration date
10/10/2006
Last updated
10/02/2023
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