Carey P Bloom

Individual provider Active NPI Developmental Therapist · Cromwell, CT

NPI 1659920486 · NPPES record last updated Sep 4, 2019

Key facts

NPI
1659920486
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
162 West Street
Building 2 Suite F
Cromwell, CT 06416-4405
Phone
(860) 613-9930
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

162 West Street
Building 2 Suite F
Cromwell, CT 06416-4405

Mailing address

162 West Street
Building 2 Suite F
Cromwell, CT 06416-4405

Other providers in Cromwell, CT

All providers in Cromwell, CT · Developmental Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.