Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN DOROTHY BLOM, PH.D.
Active Sole ProprietorDR. SUSAN DOROTHY BLOM, PH.D. is a Psychologist healthcare provider located in MORA, Minnesota. NPI 1700957842 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MORA, MN
Registration Details
- NPI Number
- 1700957842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 12, 2006 (19.720056736307 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP1194 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 FOREST AVE ESUITE 150MORA, MN, 550511624Browse MN providers · Browse ZIP 55051
- Phone
- 3206796346
- Fax
- 3206796351
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in MORA, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. DARCI JEAN WIKELIUS | PSY.D., LP | 1366970352 |
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.