Bloom, Krystle Michelle
Bloom, Krystle Michelle is an individual health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502-2004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bloom, Krystle Michelle can be contacted via phone (310) 222-3151.Contact Information
Primary practice address
1000 W Carson St
Torrance CA 90502-2004
Phone: (310) 222-3151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY33827 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1104376821 |
|---|---|
| LBN Legal business name | Bloom, Krystle Michelle |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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