Individual provider · Type 1 NPI

Samuel Blumberg, PhD

Psychologist · St. Louis, MO

NPI number 1619911013 Active

Practice location

621 S New Ballas Rd, Ste 112A
St. Louis, MO 63141-8232

Call (314) 251-6545 Map

Fax (314) 251-5808

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X01181 (MO)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1619911013

Samuel Blumberg, PhD's National Provider Identifier is 1619911013, issued on Jun 15, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.