DR. Pamela A Blake, PH.D.
NPI #1215252630 in East Moriches, New York
Provider Information
- NPI Number
- 1215252630
- Entity Type
- Individual
- Name
- DR. Pamela A Blake, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Mar 29, 2010
- Last Updated
- Mar 31, 2010
Practice Location
- Address
- 451 MONTAUK HWY
- City
- East Moriches
- State
- New York
- ZIP Code
- 11940-1357
- Phone
- (631) 255-5481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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