NPI 1083098495

Bloom Psychological Services, LLC

Organisation Clinical Psychologist Gulfport, MS

Practice location

Address: 1520 29th Ave Suite 31, Gulfport, MS 39501-2843
Phone: (228) 547-2273
Mailing address: PO Box 1583, Long Beach, MS 39560-1583

Authorised official

Name: Holly Michelle Spotts
Title: Owner
Phone: (228) 547-2273

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 54965 (MS)

Other Psychologist providers in Mississippi →

Registry record

NPI: 1083098495
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.