Mirelle D. Bloch, Psy.d., LLC

NPI #1700644655 in Evanston, Illinois

Provider Information

NPI Number: 1700644655
Entity Type: Organization
Organization Name: Mirelle D. Bloch, Psy.d., LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 6, 2024
Last Updated: Mar 6, 2024

Practice Location

Address: 1328 GREENLEAF ST UNIT 4
City: Evanston
State: Illinois
ZIP Code: 60202-1153
Phone: (872) 226-2313

Authorized Official

Name: DR. MIRELLE D BLOCH, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (872) 226-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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