Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY G BLAKE, LP
Active Sole ProprietorTIMOTHY G BLAKE, LP is a Psychologist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1568796613 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1568796613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2009 (16.861958612342 yrs)
- Last Updated
- Mar 11, 2021
- License
-
5115 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2649 PARK AVEMINNEAPOLIS, MN, 554071006Browse MN providers · Browse ZIP 55407
- Phone
- 6126761604
- Fax
- 6123798235
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID ALLAN DUBOIS | MASTERS OF ARTS | 1720084502 |
| DR. JOHN DAVID MCCLAY | ED.D. | 1235138447 |
| DR. RAYE MCPHILLIPS EYRICH | PH.D. | 1215938659 |
| MR. ELLIOTT V. TROUP JR. | M.ED. L.P. | 1104813716 |
| MR. JOHN P HEDBERG | LP, LMFT | 1265415707 |
| TERESA PLUMMER | — | 1770567455 |
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.