Individual
DR. SAMUEL BLUMBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
621 S NEW BALLAS RD, STE 112A, SAINT LOUIS, MO 63141-8232
(314) 251-6545
(314) 251-5808
Mailing address
621 S NEW BALLAS RD, STE 112A, SAINT LOUIS, MO 63141-8232
(314) 251-6545
(314) 251-5808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01181
MO
Other
Enumeration date
06/15/2006
Last updated
07/09/2007
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