MEDICARE: DR. DEBORAH BLOOM PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LF60233340	WA
2	101YM0800X	Mental Health Counselor	MC60166936	WA

General Provider Information

NPI Number	:	1073829263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH BLOOM PSYD

Provider Business Mailing Address
First Line	:	33400 9TH AVE S STE 100
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-2607
Country	:	US
Telephone Number	:	206-567-7267
Fax Number	:	206-567-7272

Provider Business Practice Location Address
First Line	:	33400 9TH AVE S STE 100
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-2607
Country	:	US
Telephone Number	:	206-567-7267
Fax Number	:	206-567-7272

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	02/04/2026

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