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Contact Information

DAVID M BLASKE, PHD
2707 BROWNS LANE
JONESBORO, AR72401
 Phone: 870-972-4939
 Fax: 870-972-4911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID M BLASKE · (Male)

NPI Number 1790733947
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/04/2006
Last updated 12/03/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 92-15P
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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