Paula Nicole Bloom, PsyD
Psychologist in Mcdonough, GA. Individual provider (NPI-1).
NPI number1689897746
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1689897746
- Entity type
- Individual (NPI-1)
- Name
- Paula Nicole Bloom
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2007
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY002777 | GA | Yes |
Practice location
1125 Town Center Village DrKaiser Permanente Henry Towne Centre Medical Center
Mcdonough, GA 30253-5970
Phone 770-496-3414
Mailing address
3495 Piedmont Rd NeNine Piedmont Center
Atlanta, GA 30305-1717
Phone 404-504-5678
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