Blake, Michael
Blake, Michael is an sole proprietor health care provider with primary practice located at 25 Main St. Office 322, Stockbridge MA 01262-0962. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blake, Michael can be contacted via phone (413) 931-5235.Contact Information
Primary practice address
25 Main St. Office 322
Stockbridge MA 01262-0962
Phone: (413) 931-5235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 10144 | Massachusetts |
Profile Details
| NPI number | 1861876963 |
|---|---|
| LBN Legal business name | Blake, Michael |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Jul 17th, 2015 - about 9 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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