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Timothy G Blake, LP
Psychologist in Minneapolis, Minnesota
NPI 1568796613

Timothy G Blake is a Psychologist based in Minneapolis, MN. Timothy G Blake practices in Minneapolis, MN and has the professional credentials of LP. The NPI Number for Timothy G Blake is 1568796613 and holds a License No. 5115 (Minnesota).

The current practice location address for Timothy G Blake is 2649 Park Ave, Minneapolis, MN and can be reached out via phone at 612-676-1604 and via fax at 612-379-8235.

Location: 2649 Park Ave, Minneapolis, MN, 55407-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568796613
Provider Name
Timothy G Blake
Credential
LP
Provider Entity Type
Individual
Gender
Male
Address
2649 Park Ave, Minneapolis, MN, 55407-1006
Phone Number
612-676-1604
Fax Number
612-379-8235
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2649 Park Ave
City
Minneapolis
State
Minnesota
Zip
55407-1006
Phone Number
612-676-1604
Fax Number
612-379-8235
person
Provider Business Mailing Address Details
Address
2649 Park Ave
City
Minneapolis
State
Minnesota
Zip
55407-1006
Phone Number
612-676-1604
Fax Number
612-379-8235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
5115 (Minnesota)
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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