NPI 1295794147

Kevin Blakley, PSYD

Practitioner Clinical Neuropsychologist Elmendorf Afb, AK

Practice location

Address: 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702
Phone: (907) 580-3114

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1742 (AZ)

Other Clinical Neuropsychologist providers in Alaska →

Registry record

NPI: 1295794147
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2006
Record last updated: 11 Feb 2009

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.