Individual
DR. THERESA BLAKESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
213 CORNERSTONE LN, LEXINGTON, SC 29073-7411
(315) 573-5244
Mailing address
213 CORNERSTONE LN, LEXINGTON, SC 29073-7411
(315) 573-5244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1774
SC
103TC0700X
Clinical Psychologist
32533
CA
Other
Enumeration date
10/09/2017
Last updated
11/15/2024
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