Individual
BLAKE OLDFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
26 MARCAR LN, RANCHO MISSION VIEJO, CA 92694-1603
(949) 292-8672
Mailing address
26 MARCAR LN, RANCHO MISSION VIEJO, CA 92694-1603
(949) 292-8672
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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