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Larry Jay Bloom, PHD
Health Service Psychologist in Ft Collins, Colorado
NPI 1407878051

Larry Jay Bloom is a Health Service Psychologist based in Littleton, CO and is specialized in Health Service. Larry Jay Bloom practices in Ft Collins, CO and has the professional credentials of PHD. The NPI Number for Larry Jay Bloom is 1407878051 and holds a License No. 500 (Colorado).

The current practice location address for Larry Jay Bloom is Of Psychology Colorado State University, Ft Collins, CO and can be reached out via phone at 970-491-5214.

Location: Of Psychology Colorado State University, Ft Collins, CO, 80120-5654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407878051
Provider Name
Larry Jay Bloom
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Of Psychology Colorado State University, Ft Collins, CO, 80120-5654
Phone Number
970-491-5214
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Of Psychology Colorado State University
City
Ft Collins
State
Colorado
Zip
80523-0001
Phone Number
970-491-5214
Fax Number
person
Provider Business Mailing Address Details
Address
Of Psychology Colorado State University
City
Ft Collins
State
Colorado
Zip
80523-0001
Phone Number
970-491-5214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
500 (Colorado)
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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