Provider Demographics
NPI:1952105926
Name:BLUMENKEHL, NEAL HOWARD (LPC)
Entity type:Individual
Prefix:MR
First Name:NEAL
Middle Name:HOWARD
Last Name:BLUMENKEHL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:NAFTALI
Other - Middle Name:TZVI
Other - Last Name:BLUMENKEHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:281 S 11TH AVE APT C
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-3424
Mailing Address - Country:US
Mailing Address - Phone:248-497-9117
Mailing Address - Fax:
Practice Address - Street 1:281 S 11TH AVE APT C
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3424
Practice Address - Country:US
Practice Address - Phone:248-497-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01121700101YP2500X
PAPC017760101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional