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Contact Information

ROBERT R BLAKE, PhD
8433 HARCOURT RD
SUITE 200
INDIANAPOLIS, IN46260-2190
 Phone: 317-338-4692
 Fax: 317-338-4693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT R BLAKE · (Male)

NPI Number 1457387466
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/23/2006
Last updated 11/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 20040385
  • IN Medicaid 100131760A
  • IN Other 000000184454 ANTHEM/ BC PROVIDER #
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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