Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE GLANTON
Active Sole ProprietorHealth Service Psychologist · WATERFORD, MI
Registration Details
- NPI Number
- 1558155226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2025 (1.0363486808005 yrs)
- Last Updated
- Apr 8, 2025
- License
-
NA (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
279 SUMMIT DRWATERFORD, MI, 483283364Browse MI providers · Browse ZIP 48328
- Phone
- 2487454900
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.