MR. Mark Lee Blough, PSYD

NPI #1942589627 in Monroe, Michigan

Provider Information

NPI Number: 1942589627
Entity Type: Individual
Name: MR. Mark Lee Blough, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Aug 11, 2011
Last Updated: Aug 11, 2011

Practice Location

Address: 700 STEWART RD
Address 2: STE 105
City: Monroe
State: Michigan
ZIP Code: 48162-5304
Phone: (734) 240-1765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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