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TIMOTHY BLAKE, LP
LP
Psychologist
NPI: 1568796613IndividualAccepts Medicare
Specialties, Licenses & Credentials
PsychologistPrimary
Psychologist
Code: 103T00000X
5115(MN)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 1994
Contact & Hours
- Address
- 2649 PARK AVE
MINNEAPOLIS, MN 55407 - Phone
- (612) 676-1604
Quick Facts
- NPI
- 1568796613
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 32
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