DR. STACI BLOOM PH.D.
NPI 1306179460
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 08, 2009

7777 FOREST LN, SUITE B-326, DALLAS, TX 75230(972) 566-8466 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Staci Bloom Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACI BLOOM PH.D. (NPI 1306179460) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1306179460

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. STACI BLOOMCredential: PH.D.

Location Address7777 FOREST LN, SUITE B-326Dallas, TX 75230-2505

Mailing Address7777 Forest Ln, Suite B-326Dallas, TX 75230-2505 · (972) 566-8466

Phone(972) 566-8466

Sole ProprietorNo

Enumeration DateSeptember 8, 2009

✔ NPI 1306179460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

7777 FOREST LN, Dallas, TX 75230

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