| Burton E. Rosenblum, Ed.d., P.c. | |
|
3710 E 5th Ave Denver CO 80206-4571 | |
| (303) 320-5621 | |
| (303) 320-5621 |
| Full Name | Burton E. Rosenblum, Ed.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 3710 E 5th Ave, Denver, Colorado |
| Authorized Official Name and Position | Burton E. Rosenblum (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 3033205621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton E. Rosenblum, Ed.d., P.c. 3710 E 5th Ave Denver CO 80206-4571 Ph: (303) 320-5621 | Burton E. Rosenblum, Ed.d., P.c. 3710 E 5th Ave Denver CO 80206-4571 Ph: (303) 320-5621 |
| NPI Number | 1326155383 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961494331 |
|---|---|
| Medicare Enrollment ID | O20040402001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326155383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 728 (Colorado) | Primary |
| Provider Name | Burton E Rosenblum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972781128 PECOS PAC ID: 9032101407 Enrollment ID: I20080429000429 |
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