Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUDREY BLOOM, PH.D.
Active Sole ProprietorDR. AUDREY BLOOM, PH.D. is a Psychologist healthcare provider located in DULUTH, Georgia. NPI 1922187376 is currently active in the NPPES registry. Verify at CMS.
Psychologist · DULUTH, GA
Registration Details
- NPI Number
- 1922187376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.745318561503 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PSY001866 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10475 MEDLOCK BRIDGE RDBUILDING 300, SUITE 315DULUTH, GA, 300972002Browse GA providers · Browse ZIP 30097
- Phone
- 6789359567
- Fax
- 6789359568
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in DULUTH, GA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A GORDON | PHD | 1508958489 |
| DR. LAURA M. RISS | PSY.D. | 1891869764 |
| DR. ANNE REMONDI IMHOFF | PH.D. | 1356470462 |
| DR. CONNIE BURCHETTE SMITH | PH.D. | 1811013485 |
| DR. ERICA RACHAEL CARLIN | PHD | 1801179015 |
| DR. THERESA WELLES | PH.D. | 1851719710 |
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.