Dr. Stanley Wayne Blom is a South Bend, Indiana based psychologist who is specialized in Clinical Psychology. Active license number of Dr. Stanley Wayne Blom is 20040666A for Clinical Psychology in Indiana. His current practice location is 150 W Angela Blvd, South Bend. Patients can reach him at 574-251-1286 or can fax him at 574-232-5386. Dr. Stanley Wayne Blom is PH.D. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1538119912. Dr. Stanley Wayne Blom is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Stanley Wayne Blom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Stanley Wayne Blom
Specialization:
Clinical Psychology
Gender:
Male
Credentials:
PH.D.
Practice Address:
150 W Angela Blvd, South Bend, Indiana, 46617-1101
Phone:
574-251-1286
Fax:
574-232-5386
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538119912
NPI Enumeration Date:
10 May, 2006
NPI Last Update On:
12 Aug, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stanley Wayne Blom are as mentioned below.
License Number
Specialization
State
Status
20040666A
Clinical Psychology
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Stanley Wayne Blom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200008720
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Stanley Wayne Blom 150 W Angela Blvd, South Bend, Indiana
Zip:
46617-1101
Phone Number:
574-251-1286
Fax Number:
574-232-5386
Patients can reach Dr. Stanley Wayne Blom at 150 W Angela Blvd, South Bend, Indiana or can call to book an appointment on 574-251-1286.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.