Individual
RICHARD WALTER BLANKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
46 VALLEY CREST RD, ANNANDALE, NJ 08801-3104
(908) 432-5461
Mailing address
46 VALLEY CREST RD, ANNANDALE, NJ 08801-3104
(908) 432-5461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00354000
NJ
103TB0200X
Cognitive & Behavioral Psychologist
Primary
35SI00354000
NJ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
35SI00354000
NJ
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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