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Contact Information

LYNEAH R BLAKE DUNCAN, TLLP
229 N SHELDON RD
PLYMOUTH, MI48170
 Phone: 313-278-4601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LYNEAH R BLAKE DUNCAN · (Female)

NPI # 1003197245
Status Active
Credentials TLLP
Entity Individual
Enumeration date 09/01/2011
Last updated 10/18/2018 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301015236
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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