Individual
DR. CAMERON BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4073 HIGHWAY 53, HOSCHTON, GA 30548-2305
(770) 882-5884
Mailing address
PO BOX 471, BETHLEHEM, GA 30620-0471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004287
GA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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