Individual
MRS. HEIKE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
405 W 23RD ST, 14 E, NEW YORK, NY 10011-1404
(212) 627-7244
Mailing address
815 DORSEA RD, LANCASTER, PA 17601-2213
(717) 898-8795
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000227
NY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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