Individual
SHARON E BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
(239) 561-2933
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
(239) 561-2933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008831
VA
103TC0700X
Clinical Psychologist
PY7362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010840500
—
FL
Enumeration date
08/13/2010
Last updated
12/17/2025
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