NPI 1003197245

Lyneah R Blake-Duncan, TLLP

Practitioner Psychologist Plymouth, MI

Practice location

Address: 229 N Sheldon Rd, Plymouth, MI 48170
Phone: (313) 278-4601
Mailing address: 229 N Sheldon Rd, Plymouth, MI 48170-1524

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Michigan →

Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 6301015236 (MI)

Other Community/Behavioral Health providers in Michigan →

Registry record

NPI: 1003197245
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2011
Record last updated: 18 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.