Victoria Bloom, LICENSED PSY#30561
NPI #1245634732 in San Rafael, California
Provider Information
- NPI Number
- 1245634732
- Entity Type
- Individual
- Name
- Victoria Bloom, LICENSED PSY#30561
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- LICENSED PSY#30561
- Enumeration Date
- Oct 13, 2014
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 2500 DEER VALLEY RD APT 117
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-1926
- Phone
- (415) 250-9216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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