DR. Staci Bloom, PH.D. is a student in an organized health care education training program in Dallas, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Staci Bloom, PH.D. NPI is 1306179460. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
7777 FOREST LN
SUITE B-326
DALLAS, TX
ZIP 75230-505
Phone: (972) 566-8466
The enumeration date for this NPI number is 9/8/2009 and was last updated on 9/8/2009.