Individual
DR. STEPHEN R BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
915 MIDDLE RIVER DR, SUITE 307, FORT LAUDERDALE, FL 33304-3544
(561) 254-9434
(954) 566-1186
Mailing address
PO BOX 243877, BOYNTON BEACH, FL 33424-3877
(561) 254-9434
(954) 566-1186
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3334
MA
Other
Enumeration date
09/09/2006
Last updated
11/05/2014
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