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Dr. Susan Dorothy Blom, PHD
Psychologist in Mora, Minnesota
NPI 1700957842

Susan Dorothy Blom is a Psychologist based in Cambridge, MN. Susan Dorothy Blom practices in Mora, MN and has the professional credentials of PHD. The NPI Number for Susan Dorothy Blom is 1700957842 and holds a License No. LP1194 (Minnesota).

The current practice location address for Susan Dorothy Blom is 905 Forest Ave E, Mora, MN and can be reached out via phone at 320-679-6346 and via fax at 320-679-6351.

Location: 905 Forest Ave E, Mora, MN, 55008-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700957842
Provider Name
Susan Dorothy Blom
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
905 Forest Ave E, Mora, MN, 55008-2110
Phone Number
320-679-6346
Fax Number
320-679-6351
Provider Enumeration Date
11/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52096BL 01 MN BLUE CROSS BLUE SHIELD
61-21928 01 MN MEDICA
72233-1010048 01 MN PREFERRED ONE
114047 01 MN U CARE
institution
Provider Business Practice Location Address Details
Address
905 Forest Ave E
City
Mora
State
Minnesota
Zip
55051-1624
Phone Number
320-679-6346
Fax Number
320-679-6351
person
Provider Business Mailing Address Details
Address
905 Forest Ave E
City
Mora
State
Minnesota
Zip
55051-1624
Phone Number
320-679-6346
Fax Number
320-679-6351
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP1194 (Minnesota)
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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