Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE BRISBOIS, PSYD
ActiveDR. BLAKE BRISBOIS, PSYD is a Clinical Psychologist healthcare provider located in WESTLAKE VLG, California. NPI 1669826723 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WESTLAKE VLG, CA
Registration Details
- NPI Number
- 1669826723
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2016 (10.335979410284 yrs)
- Last Updated
- Jun 8, 2021
- Licenses
-
32519 (CA)PSY32519 (CA)
Practice Information
- Address
-
2625 TOWNSGATE RD STE 210WESTLAKE VLG, CA, 913615754Browse CA providers · Browse ZIP 91361
- Phone
- 8054970605
- Fax
- 8053714862
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
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.