DR. Jamilia Blake, PH.D.

NPI #1114287133 in College Station, Texas

Provider Information

NPI Number
1114287133
Entity Type
Individual
Name
DR. Jamilia Blake, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PH.D.
Enumeration Date
May 23, 2012
Last Updated
Jun 12, 2012

Practice Location

Address
207 ROCK PRAIRIE RD STE B
Address 2
CAPSTONE
State
Texas
ZIP Code
77845-8777
Phone
(404) 725-2592

Specialties & Taxonomy Codes

Specialty
Psychologist

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