Individual
DR. BLAKE DONALD CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3671 BUSINESS DR, SACRAMENTO, CA 95820-2165
(916) 734-4208
(916) 734-4150
Mailing address
3671 BUSINESS DR, SACRAMENTO, CA 95820-2165
(916) 734-4208
(916) 734-4150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19498
CA
Other
Enumeration date
12/08/2005
Last updated
05/20/2011
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