Blake, Michael

Blake, Michael is an sole proprietor health care provider with primary practice located at 25 Main St. Office 322, Stockbridge MA 01262-0962. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blake, Michael can be contacted via phone (413) 931-5235.

Contact Information

Primary practice address
25 Main St. Office 322 Stockbridge MA 01262-0962
Phone: (413) 931-5235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 10144 Massachusetts

Profile Details

NPI number 1861876963
LBN Legal business name Blake, Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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