Search › Maryland › 111N00000X
Ian Bloom, D.C
NPI 1538214481 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11140 Rockville Pike
Ste 303
North Bethesda, MD 20852 - Phone
- (301) 458-0204
- Organisation at this address
- Elite Behavioral Therapy
Lavender Hills Psychotherapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- MD, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland