Richard Walter Blankenberg, PHD in Annandale, NJ - Psychologist

Richard Walter Blankenberg, PHD is a Psychologist - Intellectual & Developmental Disabilities based in Annandale, New Jersey. Richard Walter Blankenberg is licensed to practice in New Jersey (license number 35SI00354000) and his current practice location is 46 Valley Crest Rd, Annandale, New Jersey. He can be reached at his office (for appointments etc.) via phone at (908) 432-5461.

NPI number for Richard Walter Blankenberg is 1588783146 and his current mailing address is 46 Valley Crest Rd, Annandale, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588783146.

Contact Information

	Richard Walter Blankenberg, PHD
	46 Valley Crest Rd, Annandale, NJ 08801-3104
	(908) 432-5461
	Not Available

Healthcare Provider's Profile

Full Name	Richard Walter Blankenberg
Gender	Male
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	46 Valley Crest Rd, Annandale, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588783146
Provider Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Richard Walter Blankenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588783146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35SI00354000 (New Jersey)	Primary
103TB0200X	Psychologist - Cognitive & Behavioral	35SI00354000 (New Jersey)	Primary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	35SI00354000 (New Jersey)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Walter Blankenberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Richard Walter Blankenberg, PHD 46 Valley Crest Rd, Annandale, NJ 08801-3104 Ph: (908) 432-5461	Richard Walter Blankenberg, PHD 46 Valley Crest Rd, Annandale, NJ 08801-3104 Ph: (908) 432-5461

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Richard Walter Blankenberg, PHD - Psychologist in Annandale, NJ