Provider Information for 1164283222
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JULIA ISABEL BLOOM LMFT
Sex: Female
NPI: 1164283222
Last Updated: 2024-01-17
Certification Date: 2024-01-17
Certification Date: 2024-01-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164283222 | ||||||||
| Enumeration Date | 2024-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1985 S OCEAN DR APT 8G HALLANDALE BEACH, FL 33009-5929 United States Phone: 215-764-9441 | Fax: | ||||||||
| Primary Practice Address | 1985 S OCEAN DR APT 8G HALLANDALE BEACH, FL 33009-5929 United States Phone: 215-764-9441 | Fax: | ||||||||
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