| Thomas Blake Therapy P.a. | |
|
104-110 Maple Avenue Red Bank NJ 07701 | |
| (732) 256-1559 | |
| Not Available |
| Full Name | Thomas Blake Therapy P.a. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 104-110 Maple Avenue, Red Bank, New Jersey |
| Authorized Official Name and Position | Thomas Blake (FOUNDER/PRACTICE OWNER) |
| Authorized Official Contact | 7322561559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Blake Therapy P.a. 104-110 Maple Avenue Red Bank NJ 07701 Ph: (732) 256-1559 | Thomas Blake Therapy P.a. 104-110 Maple Avenue Red Bank NJ 07701 Ph: (732) 256-1559 |
| NPI Number | 1083434914 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083434914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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