Mark Lee Blough, PSYD

Psychologist · Monroe, MI

Individual Active NPI

NPI number 1942589627

Practice location

700 Stewart Rd
Ste 105
Monroe, MI 48162-5304
Phone
(734) 240-1765
Fax
(734) 240-1787

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NPI record

NPI
1942589627
Entity type
Individual (Type 1)
Enumeration date
August 11, 2011
Last updated
August 11, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 6301014288 MI

Mailing address

718 N Macomb St
Monroe, MI 48162-7815
Phone
(734) 240-8400
Fax
(734) 240-4450

About Dr. Blough

Mark Lee Blough, PSYD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 700 Stewart Rd, Ste 105, Monroe, MI 48162-5304. The NPI number 1942589627 was assigned on August 11, 2011 and the record was last updated on August 11, 2011.

Dr. Blough lists a license in the registry: #6301014288 (MI) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Lee Blough, PSYD?

The NPI number is 1942589627.

What is the phone number of Dr. Blough?

The phone number listed for the practice location is (734) 240-1765.

Where is Dr. Blough located?

700 Stewart Rd, Ste 105, Monroe, MI 48162-5304.

What is the taxonomy code for Dr. Blough?

The primary taxonomy code is 103T00000X – 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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