Individual
DR. MALLAREE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2460 W 26TH AVE STE 465C, DENVER, CO 80211-5315
(720) 386-4046
Mailing address
2460 W 26TH AVE STE 465C, DENVER, CO 80211-5315
(720) 386-4046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004702
CO
Other
Enumeration date
09/02/2010
Last updated
05/30/2020
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