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Dr. Douglas Randal Bloom, PHD
Clinical Neuropsychologist in Houston, Texas
NPI 1417001116

Douglas Randal Bloom is a Clinical Neuropsychologist based in Houston, TX. Douglas Randal Bloom practices in Houston, TX and has the professional credentials of PHD. The NPI Number for Douglas Randal Bloom is 1417001116 and holds a License No. 25782 (Texas).

The current practice location address for Douglas Randal Bloom is 6621 Fannin St, Houston, TX and can be reached out via phone at 832-822-3700 and via fax at 832-825-4164.

Location: 6621 Fannin St, Houston, TX, 77030-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417001116
Provider Name
Douglas Randal Bloom
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
6621 Fannin St, Houston, TX, 77030-2303
Phone Number
832-822-3700
Fax Number
832-825-4164
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1027542-03 05 TX
institution
Provider Business Practice Location Address Details
Address
6621 Fannin St
City
Houston
State
Texas
Zip
77030-2303
Phone Number
832-822-3700
Fax Number
832-825-4164
person
Provider Business Mailing Address Details
Address
6621 Fannin St
City
Houston
State
Texas
Zip
77030-2303
Phone Number
832-822-3700
Fax Number
832-825-4164
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
25782 (Texas)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
25782 (Texas)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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