| Marvin S. Rosenblatt, Ph.d., P.a. | |
|
6203 West Commercial Boulevard Ft.lauderdale FL 33319 | |
| (954) 722-2020 | |
| Not Available |
| Full Name | Marvin S. Rosenblatt, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6203 West Commercial Boulevard, Ft.lauderdale, Florida |
| Authorized Official Name and Position | Marvin S. Rosenblatt (PRESIDENT) |
| Authorized Official Contact | 9547222020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin S. Rosenblatt, Ph.d., P.a. 6203 West Commercial Boulevard Ft.lauderdale FL 33319 Ph: (954) 722-2020 | Marvin S. Rosenblatt, Ph.d., P.a. 6203 West Commercial Boulevard Ft.lauderdale FL 33319 Ph: (954) 722-2020 |
| NPI Number | 1467667097 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467667097 | NPI | - | NPPES |
| 75781 | Other | FL | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 2555 (Florida) | Primary |