Individual
ALISHA ROSE BOWEN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-6418
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-6418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
617
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39020000X
STUDENT IN AN ORGANIZED HEALTHCARE EDUCATION/ TRAINING PROGRAM
TX
Enumeration date
10/12/2015
Last updated
04/20/2026
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