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Individual
LINDA BLAKELEY
Active
Individual
LINDA BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY142280
—
CA
Enumeration date
12/13/2006
Last updated
09/01/2009
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