Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUDLEY DAVID BLAKE, PH.D.
Active Sole ProprietorDR. DUDLEY DAVID BLAKE, PH.D. is a Clinical Psychologist healthcare provider located in BOISE, Idaho. NPI 1578676714 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BOISE, ID
Registration Details
- NPI Number
- 1578676714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.968145751928 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY313 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
BOISE VA MEDICAL CENTER500 WEST FORT STREETBOISE, ID, 837014598Browse ID providers · Browse ZIP 83701
- Phone
- 2084221125
- Fax
- 2084221164
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. A JOSEPH SALAIS | PH.D. | 1700889466 |
| DR. JOSEPH AL LIPETZKY | PSY. D. | 1467440065 |
| DR. STEVEN L MEHARRY | PSY. D. | 1720076326 |
| DR. ROBERT TODD BENNETT | PH.D. | 1962490474 |
| DR. JASON DONALD GAGE | PH.D. | 1548250699 |
| MR. JEFFREY MORRIS SHEPARD | PHD | 1558317636 |
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.