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

DR. JEREMY W BLOOMFIELD, PSY.D.

Active Sole Proprietor

DR. JEREMY W BLOOMFIELD, PSY.D. is a Clinical Psychologist healthcare provider located in EVANSTON, Illinois. NPI 1871517672 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · EVANSTON, IL

Registration Details

NPI Number
1871517672
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.033357444777 yrs)
Last Updated
Feb 23, 2009
Licenses
071-006685 (IL)
071-006685 (IL)
071-006685 (IL)
Sole Proprietor
Yes

Practice Information

Address
1609 SHERMAN AVE
SUITE 302
EVANSTON, IL, 602013753
Browse IL providers · Browse ZIP 60201
Phone
3124095614
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Geriatric Psychologist

Other Clinical Psychologist Providers in EVANSTON, IL

Name Credential NPI
DR. MICHAEL ENGLAND PSY.D. 1538162870
DR. TERRENCE JAMES KOLLER PH.D. 1487647715
DR. MARY C HAGELE PSY.D. 1942295738
NELL LOGAN PH.D. 1265428452
DR. RICHARD W. COHEN PH.D. 1215926738
DR. JUDY KOENIGSBERG PH.D. 1174507008
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.