DR. Nancy Lee Bloom, PSY.D.

NPI #1407071434 in Farmingdale, New Jersey

Provider Information

NPI Number: 1407071434
Entity Type: Individual
Name: DR. Nancy Lee Bloom, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Apr 16, 2007
Last Updated: Oct 19, 2010

Practice Location

Address: 338 ADELPHIA RD
City: Farmingdale
State: New Jersey
ZIP Code: 07727-3527
Phone: (732) 539-5586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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