Linda Bloom, PhD
Psychologist in Madison, WI. Individual provider (NPI-1).
NPI number1174530661
StatusActive
Last updated in NPPESMay 29, 2012
Details
- NPI
- 1174530661
- Entity type
- Individual (NPI-1)
- Name
- Linda Bloom
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- May 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 990-057 | WI | Yes |
Practice location
330 S Whitney WaySuite 304
Madison, WI 53705-4638
Phone 608-231-3191 · Fax 608-231-3108
Mailing address
330 S Whitney WaySuite 304
Madison, WI 53705-4638
Phone 608-231-3191 · Fax 608-231-3108
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