Individual
DR. PETER BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1707 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-6727
(703) 765-5675
(703) 765-6115
Mailing address
1707 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-6727
(703) 765-5675
(703) 765-6115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000667
VA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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