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

DR. DOUGLAS RANDAL BLOOM, PHD

Active

DR. DOUGLAS RANDAL BLOOM, PHD is a Clinical Neuropsychologist healthcare provider located in HOUSTON, Texas. NPI 1417001116 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · HOUSTON, TX

Registration Details

NPI Number
1417001116
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2007 (19.589759565182 yrs)
Last Updated
Jan 10, 2023
Licenses
25782 (TX)
25782 (TX)

Practice Information

Address
6621 FANNIN ST
CCC 1630.00
HOUSTON, TX, 770302303
Browse TX providers · Browse ZIP 77030
Phone
8328223700
Fax
8328254164
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in HOUSTON, TX

Name Credential NPI
DR. JENNIE L REXER PHD 1245223445
DR. JOHN W LARGEN JR. PHD 1265425466
KIMBERLY M RENNIE PHD 1336193341
DR. MATTHEW LEMUEL NANCE PH.D. 1104867860
MARY R PRASAD PH.D. 1710922836
LINDA EWING-COBBS PH.D. 1487680021
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.