Organization
RICHARD KORNBLATH PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KORNBLATH PH.D. (SOLE OWNER)
(561) 368-8512
Entity
Organization
Contact information
Practice address
400 SW BOCA RATON BLVD, #101, BOCA RATON, FL 33432-5991
(561) 368-8512
(561) 395-8332
Mailing address
400 SW BOCA RATON BLVD, #101, BOCA RATON, FL 33432-5991
(561) 368-8512
(561) 395-8332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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