Rochelle Dale Bloom, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chatsworth, CA
NPI 1689916009 · NPPES record last updated Mar 24, 2013
Key facts
- NPI
- 1689916009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC49431 (CA)
- Practice address
- 21523 Rinaldi St
Chatsworth, CA 91311-1480 - Phone
- (818) 636-2780
- NPI assigned
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC49431 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC49431 | CA | Yes |
Addresses
Primary practice location
21523 Rinaldi St
Chatsworth, CA 91311-1480
Mailing address
21523 Rinaldi St
Chatsworth, CA 91311-1480
Phone (818) 636-2780
Other providers in Chatsworth, CA
- Lesli Birkhead
- Abduallah Bitar
- Berny Blanco
- Zaira Klarisse Blanco
- Blessed Home Health Partners
- Blue Butterfly Hospice, Inc.
- Blue Diamond Home Health Inc
- Ildiko Roxane Bocskay
- Marina Bondarenko
- Thomas Meredith Booth
All providers in Chatsworth, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.