Individual
DR. RACHEL BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17 WOODLAND RD FL 2, MADISON, CT 06443-2342
(617) 827-4534
Mailing address
53 GENESEE LN, MADISON, CT 06443-8126
(617) 827-4534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3507
CT
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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