NPI 1790733947 · live from the CMS NPI Registry
David M Blaske, PhD
Psychologist in Jonesboro, AR. National Provider Identifier 1790733947, active.
NPI record
| NPI | 1790733947 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2707 Browns Lane, Jonesboro, AR 72401 |
| Practice phone | 870-972-4939 |
| Enumerated | May 4, 2006 |
| Last updated | December 3, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 92-15P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.