Individual
RICHARD L GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
HINES VA HOSPITAL, 1ST AVE & ROOSEVELT ROAD, PSYCHOLOGY SERVICE (116B), HINES, IL 60141-5000
(708) 202-2475
(707) 202-2687
Mailing address
4930 PRATT AVE, SKOKIE, IL 60077-3512
(708) 202-2475
(708) 202-2687
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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