Individual provider · Type 1 NPI

Mistey Lynn Blake, MA TLLP CADC-M

Clinical Psychologist · Canton, MI

NPI number 1821330499 Active

Practice location

50430 School House Rd, 100
Canton, MI 48187-5910

Call (734) 495-1722 Map

Fax (734) 495-3068

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301015297 (MI)

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 1821330499

Mistey Lynn Blake, MA TLLP CADC-M's National Provider Identifier is 1821330499, issued on Mar 21, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Canton, MI. The record was last updated on Mar 21, 2013.