Individual
DR. BLAKE EVAN KIRSCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
299 ORANGE RD, FLOOR 1, MONTCLAIR, NJ 07042-4420
(503) 933-9837
Mailing address
299 ORANGE RD, FLOOR 1, MONTCLAIR, NJ 07042-4420
(503) 933-9837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00554300
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00554300
NJ
Other
Enumeration date
09/20/2010
Last updated
12/19/2015
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