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DR. RACHEL BLOOM PSY.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679141022

Individual Registrant:
DR. RACHEL  BLOOM PSY.D.
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: --

Contact information for business:
53 GENESEE LN  MADISON, CT 06443-8126 US
Tel: 617-827-4534  Fax: --

Registration Information:
NPI: 1679141022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CT3507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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