Individual provider · Type 1 NPI

Mark Lee Blough, PSYD

Psychologist · Monroe, MI

NPI number 1942589627 Active

Practice location

700 Stewart Rd, Ste 105
Monroe, MI 48162-5304

Fax (734) 240-1787

Mailing address

718 N Macomb St
Monroe, MI 48162-7815

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301014288 (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 1942589627

Mark Lee Blough, PSYD's National Provider Identifier is 1942589627, issued on Aug 11, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Monroe, MI. The record was last updated on Aug 11, 2011.