Individual
DR. BLAKE H TEARNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5470 KIETZKE LN STE 300, RENO, NV 89511-2099
(775) 827-8883
(866) 476-4317
Mailing address
5470 KIETZKE LN STE 300, RENO, NV 89511-2099
(775) 827-8883
(866) 476-4317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY142
NV
251S00000X
Community/Behavioral Health Agency
PSY142
NV
Other
Enumeration date
03/27/2007
Last updated
08/02/2019
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