Individual provider · Type 1 NPI

Tessie Blake, PSY.D., L.P.

Psychologist · Detroit Lakes, MN

NPI number 1104183326 Active

Practice location

1104 W River Rd
Detroit Lakes, MN 56501-2723

Call (218) 844-6853 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104183326

Tessie Blake, PSY.D., L.P.'s National Provider Identifier is 1104183326, issued on Apr 12, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Feb 22, 2016.