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Dr. Robert R. Blake, PHD
Psychologist in Indianapolis, Indiana
NPI 1457387466

Robert R. Blake is a Psychologist based in Indianapolis, IN. Robert R. Blake practices in Indianapolis, IN and has the professional credentials of PHD. The NPI Number for Robert R. Blake is 1457387466 and holds a License No. 20040385 (Indiana).

The current practice location address for Robert R. Blake is 8433 Harcourt Rd, Indianapolis, IN and can be reached out via phone at 317-338-4692 and via fax at 317-338-4693.

Location: 8433 Harcourt Rd, Indianapolis, IN, 46260-2971
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Provider Profile Details
NPI Number
1457387466
Provider Name
Robert R. Blake
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
8433 Harcourt Rd, Indianapolis, IN, 46260-2971
Phone Number
317-338-4692
Fax Number
317-338-4693
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000184454 01 IN ANTHEM/ BC PROVIDER #
100131760A 05 IN
institution
Provider Business Practice Location Address Details
Address
8433 Harcourt Rd
City
State
Zip
46260-2190
Phone Number
317-338-4692
Fax Number
317-338-4693
person
Provider Business Mailing Address Details
Address
8433 Harcourt Rd
City
State
Zip
46260-2190
Phone Number
317-338-4692
Fax Number
317-338-4693
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
20040385 (Indiana)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
20040385 (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
20040385 (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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