Blake, Tessie

Blake, Tessie is an individual health care provider with primary practice located at 1104 W River Rd , Detroit Lakes MN 56501-2723. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Blake, Tessie can be contacted via phone (218) 844-6853.

Contact Information

Primary practice address
1104 W River Rd Detroit Lakes MN 56501-2723
Phone: (218) 844-6853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1104183326
LBN Legal business name Blake, Tessie
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Feb 22nd, 2016 - 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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