Larry Jay Bloom, PHD - Psychologist in Ft Collins, CO

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Larry Jay Bloom, PHD is a Psychologist - Health Service based in Ft Collins, Colorado. Larry Jay Bloom is licensed to practice in Colorado (license number 500) and his current practice location is Of Psychology Colorado State University, Ft Collins, Colorado. He can be reached at his office (for appointments etc.) via phone at (970) 491-5214.

NPI number for Larry Jay Bloom is 1407878051 and his current mailing address is 1000 Southpark Drive, Littleton, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407878051.

Contact Information

Larry Jay Bloom, PHD
Of Psychology Colorado State University,
Ft Collins, CO 80523-0001
(970) 491-5214
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLarry Jay Bloom
GenderMale
SpecialityPsychologist - Health Service
LocationOf Psychology Colorado State University, Ft Collins, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407878051
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 07/28/2010

Medical Identifiers

Medical identifiers for Larry Jay Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407878051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0100XPsychologist - Health Service 500 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Jay Bloom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Larry Jay Bloom, PHD
1000 Southpark Drive,
Littleton, CO 80120-5654

Ph: (303) 715-2264		Larry Jay Bloom, PHD
Of Psychology Colorado State University,
Ft Collins, CO 80523-0001

Ph: (970) 491-5214

Reviews and Comments


Psychologist in Ft Collins, CO


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