Individual
DR. MARY KELLY BLAKESLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 FRANKLIN PL, SUMMIT, NJ 07901-3616
(908) 598-0059
(908) 598-0058
Mailing address
25 FRANKLIN PL, SUMMIT, NJ 07901-3616
(908) 598-0059
(908) 598-0058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00182200
NJ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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