Larry Jay Bloom, PH.D.
NPI #1407878051 in Ft Collins, Colorado
Provider Information
- NPI Number
- 1407878051
- Entity Type
- Individual
- Name
- Larry Jay Bloom, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Health Service
- Credential
- PH.D.
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 28, 2010
Practice Location
- Address
- OF PSYCHOLOGY COLORADO STATE UNIVERSITY
- City
- Ft Collins
- State
- Colorado
- ZIP Code
- 80523-0001
- Phone
- (970) 491-5214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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