Individual
WHITLEY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 S TELEGRAPH RD STE 104, BLOOMFIELD HILLS, MI 48302-0177
(248) 256-5209
(248) 239-1522
Mailing address
1750 S TELEGRAPH RD STE 104, BLOOMFIELD HILLS, MI 48302-0177
(248) 270-5882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352001204
MI
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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