Individual
DR. GARY ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 BRIGHTON AVE., BOLINAS, CA 94924-0100
(415) 868-1099
Mailing address
PO BOX 100, BOLINAS, CA 94924-0100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 6299
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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