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Contact Information

BLAKE A CONROY
2233 UNIVERSITY AVE W STE 210
SAINT PAUL, MN55114-1698
 Phone: 651-493-3945
 Fax: 612-699-0676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BLAKE A CONROY · (Male)

NPI # 1164269486
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2024
Last updated 07/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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