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Mr. Stephen Dale Blakeman, MA
Clinical Psychologist in Wake Forest, North Carolina
NPI 1972507309

Stephen Dale Blakeman is a Clinical Psychologist based in Wake Forest, NC and is specialized in Clinical. Stephen Dale Blakeman practices in Wake Forest, NC and has the professional credentials of MA. The NPI Number for Stephen Dale Blakeman is 1972507309 and holds a License No. 1556 (North Carolina).

The current practice location address for Stephen Dale Blakeman is 1012 Cedar Knoll Dr, Wake Forest, NC and can be reached out via phone at 919-554-4343 and via fax at 877-300-6893.

Location: 1012 Cedar Knoll Dr, Wake Forest, NC, 27587-6248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972507309
Provider Name
Stephen Dale Blakeman
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1012 Cedar Knoll Dr, Wake Forest, NC, 27587-6248
Phone Number
919-554-4343
Fax Number
877-300-6893
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142A0 01 NC BCBS
6107254 05 NC
institution
Provider Business Practice Location Address Details
Address
1012 Cedar Knoll Dr
City
Wake Forest
State
North Carolina
Zip
27587-6248
Phone Number
919-554-4343
Fax Number
877-300-6893
person
Provider Business Mailing Address Details
Address
1012 Cedar Knoll Dr
City
Wake Forest
State
North Carolina
Zip
27587-6248
Phone Number
919-554-4343
Fax Number
877-300-6893
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1556 (North Carolina)
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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