Individual
KATHERINE J BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3202 TOWER OAKS BLVD, SUITE 260, ROCKVILLE, MD 20852-4219
(301) 528-8575
Mailing address
3202 TOWER OAKS BLVD, SUITE 260, ROCKVILLE, MD 20852-4219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03912
MD
Other
Enumeration date
03/29/2007
Last updated
09/26/2014
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