| Dr Dudley David Blake, PHD | |
|
Boise Va Medical Center, 500 West Fort Street, Boise, ID 83701-4598 | |
| (208) 422-1125 | |
| (208) 422-1164 |
| Full Name | Dr Dudley David Blake |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | Boise Va Medical Center, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578676714 | NPI | - | NPPES |
| PSY313 | Other | ID | STATE PSYCHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY313 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dudley David Blake, PHD 701 E Jefferson St, Boise, ID 83712-6413 Ph: (208) 336-0461 | Dr Dudley David Blake, PHD Boise Va Medical Center, 500 West Fort Street, Boise, ID 83701-4598 Ph: (208) 422-1125 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Heidi Rachelle Tennyson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 N Westgate Dr Ste 260, Boise, ID 83704 Phone: 208-373-0790 Fax: 208-373-0816 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |