Organization
SALLY BLOCH PHD LP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY ANN BLOCH PHD (PSYCHOLOGIST)
(248) 343-3318
Entity
Organization
Contact information
Practice address
4190 TELEGRAPH RD STE 2700, BLOOMFIELD HILLS, MI 48302-2042
(248) 343-3318
(248) 522-7365
Mailing address
939 RIVENOAK ST, BIRMINGHAM, MI 48009-5737
(248) 343-3318
(248) 522-7365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006311
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32753
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/04/2008
Last updated
06/25/2020
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