NPI 1295961357

Victor Bloom, M.D., P.C.

Organisation Psychoanalyst Grosse Pointe Park, MI

Practice location

Address: 1007 Three Mile Dr, Grosse Pointe Park, MI 48230-1412
Phone: (313) 882-8640
Fax: (313) 882-8641

Authorised official

Name: Victor Bloom
Title: President
Phone: (313) 882-8640

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 022723 (MI)

Other Psychoanalyst providers in Michigan →

Registry record

NPI: 1295961357
Entity type: Organization
NPI issued: 3 Jun 2009
Record last updated: 3 Jun 2009

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.