Dudley David Blake is a Clinical in Boise, Idaho. Dudley David Blake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dudley David Blake is 1578676714. The last update date is 2007-07-08.
Dudley David Blake's current location address is Boise Va Medical Center, Boise, Idaho. You can contact this provider via phone number 2084221125 and fax number 2084221164. The mailing address for Dudley David Blake is Boise Va Medical Center, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dudley David Blake |
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Address | Boise Va Medical Center, Boise, Idaho |
Phone Number | 2084221125 |
Fax Number | 2084221164 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1578676714 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Boise Va Medical Center |
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City | Boise |
State | Idaho (ID) |
Post Code | 837014598 |
Phone Number | 2084221125 |
Fax Number | 2084221164 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY313 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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PSY313 | ID | STATE PSYCHOLOGY LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Dudley David Blake by the Centers for Medicare & Medicaid Services?
The Dudley David Blake has been issued the NPI (National Provider Identifier) 1578676714. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dudley David Blake's physical address?
The Dudley David Blake is physically located at Boise Va Medical Center, in the city of Boise, ID, with the postal code 837014598.
What is Dudley David Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dudley David Blake is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Dudley David Blake's 1578676714 issued?
The Dudley David Blake's 1578676714 was issued on 2006-08-15.
When was the information related to Dudley David Blake most recently updated or refreshed?
The details pertaining to the Dudley David Blake, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.