PAMELA A BLAKE

EAST MORICHES, NY
NPI1215252630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  018090)
Enumeration Date2010-03-29
Last Update Date2010-03-31
Business Address
Dr. PAMELA A BLAKE Ph.D.
451 MONTAUK HWY
EAST MORICHES, NY 11940-1357
Phone number: 631-255-5481
Mailing Address
Dr. PAMELA A BLAKE Ph.D.
17 ANNETTE LN
EAST MORICHES, NY 11940-1508
Phone number: 631-255-5481