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Bionic Bloom
Health Service Psychologist in St Petersburg, Florida
NPI 1285355610

Bionic Bloom is a Health Service Psychologist based in St Petersburg, FL and is specialized in Health Service. Bionic Bloom practices in St Petersburg, FL. The NPI Number for Bionic Bloom is 1285355610 and holds a License No. (Florida).

The current practice location address for Bionic Bloom is 146 2Nd St N Ste 203, St Petersburg, FL and can be reached out via phone at 727-490-9911. You can also correspond with Bionic Bloom through the mailing address at 146 2ND ST N STE 203, ST PETERSBURG, FL - 33701-3361 (mailing address contact number: 727-490-9911).

Location: 146 2Nd St N Ste 203, St Petersburg, FL, 33701-3361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285355610
Provider Name
Bionic Bloom
Credential
Provider Entity Type
Organization
Address
146 2Nd St N Ste 203, St Petersburg, FL, 33701-3361
Phone Number
727-490-9911
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
146 2Nd St N Ste 203
City
St Petersburg
State
Florida
Zip
33701-3361
Phone Number
727-490-9911
Fax Number
person
Provider Business Mailing Address Details
Address
146 2Nd St N Ste 203
City
St Petersburg
State
Florida
Zip
33701-3361
Phone Number
727-490-9911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
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Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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