NPI 1003093584
Virginia Adams Bloom, MEDLPC
Practice location
- Address
- 1310 S 1st St STE 200, Austin, TX 78704-3061
- Phone
- (512) 627-0390
- Fax
- (512) 288-1909
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1003093584
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2008
- Record last updated
- 27 Jan 2008
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.