Individual provider · Type 1 NPI

Audrey Bloom, PhD

Psychologist · Duluth, GA

NPI number 1922187376 Active

Practice location

10475 Medlock Bridge Rd, Building 300, Suite 315
Duluth, GA 30097-2002

Fax (678) 935-9568

Mailing address

9555 Fenbrook Ct
Alpharetta, GA 30022-5106

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY001866 (GA)

Psychologist: 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 adjustmen…

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About NPI 1922187376

Audrey Bloom, PhD's National Provider Identifier is 1922187376, issued on Nov 6, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Duluth, GA. The record was last updated on Jul 9, 2007.