DR. Cheryl Rae Blank, PH.D.

NPI #1932221058 in Bozeman, Montana

Provider Information

NPI Number: 1932221058
Entity Type: Individual
Name: DR. Cheryl Rae Blank, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 6, 2007
Last Updated: Jan 3, 2011

Practice Location

Address: 121 W KAGY BLVD
City: Bozeman
State: Montana
ZIP Code: 59715-6000
Phone: (406) 587-7468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X	Primary

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