Individual
DR. SAMUEL LEE BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6406 CARMEL RD, SUITE 301, CHARLOTTE, NC 28226-8061
(704) 341-0084
(704) 544-8833
Mailing address
6406 CARMEL RD, SUITE 301, CHARLOTTE, NC 28226-8061
(704) 341-0084
(704) 544-8833
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0962
NC
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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