Provider Demographics
NPI:1386246759
Name:ROSENBLATT, MAX
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 S HARLAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2926
Mailing Address - Country:US
Mailing Address - Phone:720-314-9263
Mailing Address - Fax:
Practice Address - Street 1:4760 OAKLAND ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-2732
Practice Address - Country:US
Practice Address - Phone:720-314-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst