Individual provider · NPI-1

Sharon E Bloom, PsyD

Psychologist, Clinical · Fort Myers, FL

NPI number1750696720
StatusActive
Last updated in NPPESDec 17, 2025

Details

NPI
1750696720
Entity type
Individual (NPI-1)
Name
Sharon E Bloom
Credential
PsyD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2010
Certification date
Dec 17, 2025
Last updated
Dec 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical0810008831VAYes
103TC0700X Psychologist, ClinicalPY7362FL

Practice location

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Phone 239-223-2751 · Fax 239-561-2933

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Phone 239-223-2751 · Fax 239-561-2933

Other practice locations

4410 Claiborne Sq E Ste 334
Hampton, VA 23666-2074

Phone 757-606-1377

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