Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY JAY BLOOM, PH.D.
Active Sole ProprietorLARRY JAY BLOOM, PH.D. is a Health Service Psychologist healthcare provider located in FT COLLINS, Colorado. NPI 1407878051 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · FT COLLINS, CO
Registration Details
- NPI Number
- 1407878051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.09257590182 yrs)
- Last Updated
- Jul 28, 2010
- License
-
500 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
OF PSYCHOLOGY COLORADO STATE UNIVERSITYFT COLLINS, CO, 805230001Browse CO providers · Browse ZIP 80523
- Phone
- 9704915214
- Primary Specialty
-
Health Service Psychologist
103TH0100X
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.