DR. STANLEY BLOM, PH.D.

Psychologist - Clinical

Active Individual
NPI: 1538119912

Practice Address

150 W ANGELA BLVD
South Bend, IN 46617

Phone: (574) 251-1286

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes 20040666A (IN)

Frequently Asked Questions

NPI 1538119912 is the National Provider Identifier for DR. STANLEY BLOM, PH.D., a Psychologist - Clinical provider located in South Bend, IN. This NPI was enumerated on May 10, 2006.
DR. STANLEY BLOM, PH.D. practices at 150 W ANGELA BLVD, South Bend, IN 46617.

Quick Facts

NPI
1538119912
Type
Individual
Enumerated
May 10, 2006
Last Updated
Aug 12, 2019

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