Robert R. Blake in Indianapolis - Health Service
Robert R. Blake - NPI 1457387466
Robert R. Blake is a Health Service in Indianapolis, Indiana. Robert R. Blake practices all healthcare services and medical treatments related to Health Service. The NPI Number for Robert R. Blake is 1457387466. The last update date is 2022-11-25.
Robert R. Blake's current location address is 7974 N Illinois St, Indianapolis, Indiana. You can contact this provider via phone number 3173384692 and fax number 3173384693. The mailing address for Robert R. Blake is 7974 N Illinois St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert R. Blake |
|---|---|
| Address | 7974 N Illinois St, Indianapolis, Indiana |
| Phone Number | 3173384692 |
| Fax Number | 3173384693 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457387466 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2022-11-25 |
Provider Mailing Address Detail
| Address | 7974 N Illinois St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462602971 |
| Phone Number | 3173384692 |
| Fax Number | 3173384693 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 20040385 |
|
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 184454 | IN | ANTHEM/ BC PROVIDER # | |
| 100131760A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert R. Blake by the Centers for Medicare & Medicaid Services (CMS)?
The Robert R. Blake has been assigned the NPI (National Provider Identifier) 1457387466. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Robert R. Blake is physically located?
The Robert R. Blake is physically situated at the following address: 7974 N Illinois St, Indianapolis, IN, 462602971.
What is Robert R. Blake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert R. Blake's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457387466 to Robert R. Blake?
The Robert R. Blake received its 1457387466 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the Robert R. Blake's information last updated?
The Robert R. Blake's information was last updated on 2022-11-25.
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