Dr. Stanley Wayne Blom, PHD
Dr. Stanley Wayne Blom, PHD is a Clinical Psychologist in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
150 W Angela BlvdSouth Bend, IN 46617-1101
Phone: (574) 251-1286
Fax: (574) 232-5386
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 20040666A (IN) |
|---|
Record details
| NPI number | 1538119912 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2006 |
| Last updated in NPPES | August 12, 2019 |
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