Individual
FELICIA G BLOEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 PEABODY RD, VACAVILLE, CA 95687-6639
(707) 451-0182
Mailing address
PO BOX 2325, VACAVILLE, CA 95696-2325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22800
CA
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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