IndividualActive
Larry Bloom, PH.D.
NPI 1407878051 · Health Service Psychologist · Ft Collins, CO
Provider details
- NPI number
- 1407878051
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 500 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Of Psychology Colorado State University
Ft Collins, CO 80523-0001
Phone: (970) 491-5214
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Southpark Drive
Littleton, CO 80120-5654
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2010-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.