Patricia J Blake in Omaha - Clinical

Patricia J Blake - NPI 1699703538

Patricia J Blake is a Clinical in Omaha, Nebraska. Patricia J Blake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia J Blake is 1699703538. The last update date is 2007-07-08.

Patricia J Blake's current location address is 10506 Burt Cir, Omaha, Nebraska. You can contact this provider via phone number 4024934444 and fax number 4024931550. The mailing address for Patricia J Blake is 10506 Burt Cir, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia J Blake
Address 10506 Burt Cir, Omaha, Nebraska
Phone Number 4024934444
Fax Number 4024931550
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1699703538
Provider Enumeration Date 2006-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10506 Burt Cir
City Omaha
State Nebraska (NE)
Post Code 681142094
Phone Number 4024934444
Fax Number 4024931550

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 526
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
103314 NE VALUE OPTIONS PROVIDER ID
8397 NE BC BS OF NE PROVIDER ID

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FAQs about Patricia J Blake

What is the Patricia J Blake's unique identification number?

The Patricia J Blake has been assigned the NPI (National Provider Identifier) Number 1699703538 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Patricia J Blake's facilities are situated?

The facilities of Patricia J Blake are physically located at the following address: 10506 Burt Cir, Omaha, NE, 681142094.

What is the Patricia J Blake's area of specialization and corresponding taxonomy classification?

The Patricia J Blake's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

When did the Patricia J Blake receive its 1699703538?

The Patricia J Blake was issued its 1699703538 on 2006-06-29, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Patricia J Blake most recently updated or revised?

The details related to Patricia J Blake, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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