Individual
PAULA NICOLE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1125 TOWN CENTER VILLAGE DR, KAISER PERMANENTE HENRY TOWNE CENTRE MEDICAL CENTER, MCDONOUGH, GA 30253-5970
(770) 496-3414
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002777
GA
Other
Enumeration date
04/10/2007
Last updated
01/13/2022
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