| Shadow Bloom Psychological Services Pllc | |
|
44 Court St Ste 1217 Brooklyn NY 11201-4410 | |
| (646) 632-2324 | |
| Not Available |
| Full Name | Shadow Bloom Psychological Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 44 Court St Ste 1217, Brooklyn, New York |
| Authorized Official Name and Position | Mariely Hernandez (MEMBER & CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6466322324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Bloom Psychological Services Pllc 44 Court St Ste 1217 Brooklyn NY 11201-4410 Ph: (646) 632-2324 | Shadow Bloom Psychological Services Pllc 44 Court St Ste 1217 Brooklyn NY 11201-4410 Ph: (646) 632-2324 |
| NPI Number | 1326924986 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326924986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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