Individual
DR. MARIA CLARK BLAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3358 MORRISON AVE, CINCINNATI, OH 45220-1434
(513) 961-1555
Mailing address
3358 MORRISON AVE, CINCINNATI, OH 45220-1434
(513) 961-1555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3423
OH
103TC0700X
Clinical Psychologist
399
KY
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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