Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Susan Dorothy Blom, PHD

Individual provider Psychologist · NPI 1700957842

Dr. Susan Dorothy Blom, PHD is a Clinical Psychologist in Mora, Minnesota. Qualified in 1982, 44 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
44
Licensed in
MN
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.

See every abbreviation used in this directory →

Practice location Address checks out

905 Forest Ave E Ste 150
Mora, MN 55051-1624
Phone: (320) 679-6346
Fax: (320) 679-6351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP1194 (MN)

Record details

NPI number1700957842
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated

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