| Jacqueline Margaret Blake, MA, LPC, LLP | |
|
114 Orchard Lake Rd, Pontiac, MI 48341-2244 | |
| (248) 858-7766 | |
| (248) 858-7201 |
| Full Name | Jacqueline Margaret Blake |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 114 Orchard Lake Rd, Pontiac, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386799070 | NPI | - | NPPES |
| 1883825 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301009441 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Margaret Blake, MA, LPC, LLP 114 Orchard Lake Rd, Pontiac, MI 48341-2244 Ph: (248) 858-7766 | Jacqueline Margaret Blake, MA, LPC, LLP 114 Orchard Lake Rd, Pontiac, MI 48341-2244 Ph: (248) 858-7766 |
Ms. Theresa Jeanne Miller, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
Alice Michelle Monte, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
Dr. Melissa Mandl-mase, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 100, Pontiac, MI 48341 Phone: 248-456-1991 | |
Antwan Croom, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1841 N Perry St, Pontiac, MI 48340 Phone: 248-745-4900 | |
Christine Greb, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3999 Centerpoint Pkwy Ste 111, Pontiac, MI 48341 Phone: 248-762-6913 | |
Dr. Kelly Kling-selander, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave Ste 405, Pontiac, MI 48341 Phone: 248-335-4010 |