Individual provider · Type 1 NPI

Jacqueline Margaret Blake, MA, LPC, LLP

Psychologist · Pontiac, MI

NPI number 1386799070 Active

Practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Call (248) 858-7766 Map

Fax (248) 858-7201

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301009441 (MI)

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 1386799070

Jacqueline Margaret Blake, MA, LPC, LLP's National Provider Identifier is 1386799070, issued on Jan 24, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Pontiac, MI. The record was last updated on Jul 8, 2007.