Organization
JENNIFER TARBOX BOODRO
Active
Other names
Bloom Psychology Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TARBOX BOODRO PHD (OWNER/PRESIDENT)
(317) 771-2077
Entity
Organization
Contact information
Practice address
10100 LANTERN RD STE 125, FISHERS, IN 46037-7806
(317) 775-3942
(317) 775-3942
Mailing address
10100 LANTERN RD STE 125, FISHERS, IN 46037-7806
(317) 775-3942
(317) 775-3942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042417A
IN
Other
Enumeration date
01/02/2013
Last updated
04/10/2023
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