Mistey Lynn Blake is a Canton, Michigan based psychologist who is specialized in Clinical Psychology. Active license number of Mistey Lynn Blake is 6301015297 for Clinical Psychology in Michigan. Her current practice location is 50430 School House Rd, 100, Canton. Patients can reach her at 734-495-1722 or can fax her at 734-495-3068. Mistey Lynn Blake is MA TLLP CADC-M in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1821330499. Mistey Lynn Blake is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Mistey Lynn Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mistey Lynn Blake
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
MA TLLP CADC-M
Practice Address:
50430 School House Rd, 100, Canton, Michigan, 48187-5910
Phone:
734-495-1722
Fax:
734-495-3068
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821330499
NPI Enumeration Date:
21 Mar, 2013
NPI Last Update On:
21 Mar, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mistey Lynn Blake are as mentioned below.
License Number
Specialization
State
Status
6301015297
Clinical Psychology
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mistey Lynn Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
213119549
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mistey Lynn Blake 50430 School House Rd, 100 Canton, Michigan
Zip:
48187-5910
Phone Number:
734-495-1722
Fax Number:
734-495-3068
Patients can reach Mistey Lynn Blake at 50430 School House Rd, 100, Canton, Michigan or can call to book an appointment on 734-495-1722.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.