Individual provider · Type 1 NPI

Bernhard Emile Blom, PhD

Clinical Psychologist · North Chicago, IL

NPI number 1811910656 Active

Practice location

3001 Green Bay Rd, Psychology Service, Va Medical Center (116B)
North Chicago, IL 60064

Fax (224) 610-3869

Mailing address

725 N Midlothian Rd
Mundelein, IL 60060-1255

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1811910656

Bernhard Emile Blom, PhD's National Provider Identifier is 1811910656, issued on Jul 25, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in North Chicago, IL. The record was last updated on Jul 8, 2007.