Individual
MICHELLE BLOOM-TRENTACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 HAGYS FORD RD APT 11V, PENN VALLEY, PA 19072-1069
(267) 294-9299
Mailing address
1600 HAGYS FORD RD APT 11V, PENN VALLEY, PA 19072-1069
(267) 294-2999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008857L
PA
Other
Enumeration date
12/11/2017
Last updated
10/24/2024
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