Charles H Blonstein, PHD
Individual provider Active NPI Clinical Psychologist · Flourtown, PA
NPI 1699712893 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1699712893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS003995L (PA)
- Practice address
- 806 Bethlehem Pike
Second Floor
Flourtown, PA 19031-1501 - Phone
- (215) 836-7040
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS003995L | PA | Yes |
Addresses
Primary practice location
806 Bethlehem Pike
Second Floor
Flourtown, PA 19031-1501
Mailing address
250 Ridge Pike
Unit C-54
Lafayette Hill, PA 19444-1930
Phone (215) 836-7040
Other providers in Flourtown, PA
- Bariatric Medicine Institute
- Madison Bear
- Patricia Wallace Belancio
- Nancy Belser
- Laura C Beringer
- Raphael T Bloomgarden
- Bonavitacola Psychological Services, LLC
- Lauren Bonavitacola
- Catherine Hyun Bonita
- Grace Boston
All providers in Flourtown, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.