Bloom, Stuart
Bloom, Stuart is an sole proprietor health care provider with primary practice located at 1395 Cerritos Dr , Laguna Beach CA 92651-2816. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bloom, Stuart can be contacted via phone (949) 497-6767.Contact Information
Primary practice address
1395 Cerritos Dr
Laguna Beach CA 92651-2816
Phone: (949) 497-6767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT12112 | California |
Profile Details
| NPI number | 1194919670 |
|---|---|
| LBN Legal business name | Bloom, Stuart |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 2007 - about 19 years ago |
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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