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Mistey Lynn Blake, MATLLPCADC-M
Clinical Psychologist in Canton, Michigan
NPI 1821330499

Mistey Lynn Blake is a Clinical Psychologist based in Canton, MI and is specialized in Clinical. Mistey Lynn Blake practices in Canton, MI and has the professional credentials of MATLLPCADC-M. The NPI Number for Mistey Lynn Blake is 1821330499 and holds a License No. 6301015297 (Michigan).

The current practice location address for Mistey Lynn Blake is 50430 School House Rd, Canton, MI and can be reached out via phone at 734-495-1722 and via fax at 734-495-3068. You can also correspond with Mistey Lynn Blake through the mailing address at 50430 SCHOOL HOUSE RD, CANTON, MI - 48187-5910 (mailing address contact number: 734-495-1722).

Location: 50430 School House Rd, Canton, MI, 48187-5910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821330499
Provider Name
Mistey Lynn Blake
Credential
MATLLPCADC-M
Provider Entity Type
Individual
Gender
Female
Address
50430 School House Rd, Canton, MI, 48187-5910
Phone Number
734-495-1722
Fax Number
734-495-3068
Provider Enumeration Date
03/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213119549 05 MI
institution
Provider Business Practice Location Address Details
Address
50430 School House Rd
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-1722
Fax Number
734-495-3068
person
Provider Business Mailing Address Details
Address
50430 School House Rd
City
Canton
State
Michigan
Zip
48187-5910
Phone Number
734-495-1722
Fax Number
734-495-3068
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6301015297 (Michigan)
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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