Individual
DR. MATTHEW F. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
697 LOUISIANA RD, ABILENE, TX 79607-1141
(325) 696-5380
Mailing address
697 LOUISIANA RD, ABILENE, TX 79607-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9282
PA
101YP2500X
Professional Counselor
PC009283
PA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810008601
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2017
Last updated
07/29/2025
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