SearchMinnesotaPsychologist

Susan Blom, PH.D

NPI 1700957842 · on the registry since 2006 · sole proprietor

Practice

Address
905 Forest Ave E
Suite 150
Mora, MN 55051
Phone
(320) 679-6346
Fax
(320) 679-6351
Organisation at this address
Kanabec County
County Of Kanabec
County Of Kanabec
County Of Kanabec
Selah Wellness Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Psychologist
103T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Minnesota