Brianna Marie Blake

Clinical Psychologist · Hartford, CT

Individual Active NPI

NPI number 1366984338

Practice location

200 Retreat Avenue
Hartford Hospital Psychiatry Dept.
Hartford, CT 06106-3310
Phone
(860) 545-7203

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NPI record

NPI
1366984338
Entity type
Individual (Type 1)
Enumeration date
November 8, 2016
Last updated
December 5, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 003606 CT

About Brianna Blake

Brianna Marie Blake is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310. The NPI number 1366984338 was assigned on November 8, 2016 and the record was last updated on December 5, 2016.

Brianna Blake lists a license in the registry: #003606 (CT) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brianna Marie Blake?

The NPI number is 1366984338.

What is the phone number of Brianna Blake?

The phone number listed for the practice location is (860) 545-7203.

Where is Brianna Blake located?

200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310.

What is the taxonomy code for Brianna Blake?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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