Kirschner, Blake Evan

Kirschner, Blake Evan is an sole proprietor health care provider with primary practice located at 299 Orange Rd Floor 1, Montclair NJ 07042-4420. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kirschner, Blake Evan can be contacted via phone (503) 933-9837.

Contact Information

Primary practice address
299 Orange Rd Floor 1 Montclair NJ 07042-4420
Phone: (503) 933-9837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00554300 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00554300 New Jersey

Profile Details

NPI number 1073821351
LBN Legal business name Kirschner, Blake Evan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2010
Last updated Dec 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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