Individual
DR. ROBERT GLEN ROSENBLATT
Active
Individual
DR. ROBERT GLEN ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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