Individual provider · Type 1 NPI

Gary A. Blank, PhD

Clinical Psychologist · Santa Rosa, CA

NPI number 1316160906 Active

Practice location

2455 Bennett Valley Rd, Suite 208B
Santa Rosa, CA 95404-5663

Fax (707) 526-2593

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY3303 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1316160906

Gary A. Blank, PhD's National Provider Identifier is 1316160906, issued on Apr 11, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.