Individual
SERENA LURIE BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
3725 DUPONT STATION CT S, SUITE 3, JACKSONVILLE, FL 32217-2518
(904) 448-1519
(904) 733-1340
Mailing address
3725 DUPONT STATION CT S, SUITE 3, JACKSONVILLE, FL 32217-2518
(904) 448-1519
(904) 733-1340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3957
MA
103TC0700X
Clinical Psychologist
PY0004692
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY0004692
FL
103TF0200X
Forensic Psychologist
PY0004692
FL
Other
Enumeration date
08/08/2006
Last updated
09/11/2025
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