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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICTORIA BLOOM, LICENSED PSY#30561

Active Sole Proprietor

VICTORIA BLOOM, LICENSED PSY#30561 is a Clinical Psychologist healthcare provider located in SAN RAFAEL, California. NPI 1245634732 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAN RAFAEL, CA

Registration Details

NPI Number
1245634732
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2014 (11.652836703524 yrs)
Last Updated
Mar 15, 2023
License
30561 (CA)
Sole Proprietor
Yes

Practice Information

Address
2500 DEER VALLEY RD APT 117
SAN RAFAEL, CA, 949031926
Browse CA providers · Browse ZIP 94903
Phone
4152509216
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SAN RAFAEL, CA

Name Credential NPI
DR. KATHLEEN MARIE AYERS PSY D 1588643217
DR. ANNA G WEIGEL PSY.D. 1831147792
TEDDY ADELSTEIN PH.D. 1144276874
DR. ROBERTA TERRY SEIFERT, PH.D. PH.D. 1760425359
DR. BEVERLY RAE MATSUISHI PH.D. 1578598447
DR. MARISOL MUNOZ-KIEHNE PH.D. 1306867403
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.