Individual
DR. MICHAEL PAUL BLANKSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
318 WALL ST, SUITE 3-A, KINGSTON, NY 12401-8003
(845) 338-7478
(845) 338-7478
Mailing address
291 WALL ST, 2-A, KINGSTON, NY 12401-3849
(845) 338-7478
(845) 338-7478
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01671585
—
NY
Enumeration date
11/02/2005
Last updated
02/20/2009
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