BLAKE M LANCASTER

ANN ARBOR, MI
NPI1255521787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MI  6301015156)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: MI  6301015156)
103TC0700X Psychologist, Clinical
(Licence: NE  PLP302)
Enumeration Date2007-07-31
Last Update Date2020-11-11
Business Address
BLAKE M LANCASTER PhD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
Mailing Address
BLAKE M LANCASTER PhD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299