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DR. RACHEL BLOOM PSY.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1679141022
Individual Registrant:DR. RACHEL BLOOM PSY.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17 WOODLAND RD FL 2 MADISON, CT 06443-2342 US
Tel: 617-827-4534 Fax: --
Tel: 617-827-4534 Fax: --
Contact information for business:
53 GENESEE LN MADISON, CT 06443-8126 US
Tel: 617-827-4534 Fax: --
Tel: 617-827-4534 Fax: --
Registration Information:
NPI: 1679141022
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CT | 3507 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
