| Bloom Psychology Sp Llc | |
|
10100 Lantern Rd Ste 125 Fishers IN 46037-7806 | |
| (317) 775-3942 | |
| (317) 775-3942 |
| Full Name | Bloom Psychology Sp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10100 Lantern Rd Ste 125, Fishers, Indiana |
| Authorized Official Name and Position | Gretchen Haist (PRACTICE MANAGER) |
| Authorized Official Contact | 3177753942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Psychology Sp Llc 10100 Lantern Rd Ste 125 Fishers IN 46037-7806 Ph: (317) 775-3942 | Bloom Psychology Sp Llc 10100 Lantern Rd Ste 125 Fishers IN 46037-7806 Ph: (317) 775-3942 |
| NPI Number | 1225896285 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225896285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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