Bloomgarden, Jennifer L

Bloomgarden, Jennifer L is an sole proprietor health care provider with primary practice located at 19803 N Creek Pkwy Ste 205 , Bothell WA 98011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloomgarden, Jennifer L can be contacted via phone (425) 298-5151.

Contact Information

Primary practice address
19803 N Creek Pkwy Ste 205 Bothell WA 98011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60709205 Washington

Profile Details

NPI number 1982996062
LBN Legal business name Bloomgarden, Jennifer L
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2011
Last updated Jun 11th, 2019 - about 7 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.

Request for update

Popular Providers