Individual
DR. CHRISTINE CHANG BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1040 NOEL DR STE 105, MENLO PARK, CA 94025-3357
(650) 218-3018
Mailing address
1040 NOEL DR STE 105, MENLO PARK, CA 94025-3357
(650) 218-3018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17494
CA
Other
Enumeration date
01/19/2007
Last updated
02/11/2015
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