Individual
DR. RICHARD KORNBLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 SW 2ND AVE, #101, BOCA RATON, FL 33432-5991
(561) 368-8512
(561) 394-8332
Mailing address
400 SW BOCA RATON BLVD, #101, BOCA RATON, FL 33432-5991
(561) 368-8512
(561) 394-8332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0005161
FL
Other
Enumeration date
08/03/2006
Last updated
07/18/2012
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