Organization
INNERBLOOM PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOE MUSHKAT PHD (OWNER/CLINICAL PSYCHOLOGIST)
(401) 310-0376
Entity
Organization
Contact information
Practice address
205 WATERMAN ST # L3, PROVIDENCE, RI 02906-4313
(401) 310-0376
Mailing address
205 WATERMAN ST # L3, PROVIDENCE, RI 02906-4313
(401) 310-0376
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
02/03/2025
Last updated
02/20/2025
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