NPI 1699703538 · live from the CMS NPI Registry
Patricia J Blake, PH.D.
Psychologist, Clinical in Omaha, NE. National Provider Identifier 1699703538, active.
NPI record
| NPI | 1699703538 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 10506 Burt Cir, Suite 100, Omaha, NE 68114 |
| Practice phone | 402-493-4444 |
| Enumerated | June 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 526 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.