Individual
MR. ZACHARY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, RDT, LCAT
Contact information
Practice address
370B CLAREMONT AVE APT 6, MONTCLAIR, NJ 07042-1838
(917) 687-6889
Mailing address
370B CLAREMONT AVE APT 6, MONTCLAIR, NJ 07042-1838
(917) 687-6889
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000078
CREATIVE ART THERAPIST #
NY
01
—
329
REGISTERED DRAMATHERAPIST
NJ
Enumeration date
03/19/2007
Last updated
07/08/2007
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