Individual
SAMUEL H BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 4D, WILMINGTON, DE 19806-1392
(302) 652-7733
(302) 652-7785
Mailing address
2300 PENNSYLVANIA AVE, SUITE 4D, WILMINGTON, DE 19806-1392
(302) 652-7733
(302) 652-7785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000212
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000030225
DELAWARE PHYSICIANS CARE
DE
01
—
234736
COMPSYCH
DE
01
—
562511PHD
BCBS OF DELAWARE
DE
Enumeration date
10/10/2006
Last updated
07/08/2007
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