Individual
DR. ROBERT GLEN ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1010 WISCONSIN AVE NW, SUITE 505, WASHINGTON, DC 20007-3603
(202) 342-1142
(202) 333-2525
Mailing address
1010 WISCONSIN AVE NW, SUITE 505, WASHINGTON, DC 20007-3603
(202) 342-1142
(202) 333-2525
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1811
DC
103TA0700X
Adult Development & Aging Psychologist
1811
DC
103TC0700X
Clinical Psychologist
2430
MD
103TC1900X
Counseling Psychologist
Primary
1811
DC
103TP2701X
Group Psychotherapy Psychologist
1811
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811
DC PROFESSIONAL LICENSING
DC
01
—
2430
MARYLAND LICENSING BOARD
MD
Enumeration date
01/07/2008
Last updated
01/07/2008
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