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: NE  PLP302)
103TC0700X Psychologist, Clinical
(Licence: MI  6301015156)
Enumeration Date2007-07-31
Last Update Date2025-08-11
Business Address
BLAKE M LANCASTER PhD
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104-2282
Phone number: 269-998-1005
Mailing Address
BLAKE M LANCASTER PhD
333 MAYNARD ST STE 402
ANN ARBOR, MI 48104-2282
Phone number: