Dr. Lauren Perry Blake, PsyD
Psychologist, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1912640046
StatusActive
Last updated in NPPESAug 17, 2026
Details
- NPI
- 1912640046
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Perry Blake
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2022
- Certification date
- Aug 17, 2026
- Last updated
- Aug 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY-005433 | AZ | Yes |
| 103G00000X | Clinical Neuropsychologist | PSY-005433 | AZ |
Practice location
222 W Thomas Rd Ste 401Phoenix, AZ 85013-4423
Phone 602-406-3473
Mailing address
240 W Thomas Rd Ste 301Phoenix, AZ 85013-4407
Phone 602-406-7765
Other practice locations
901 E Willetta St
Phoenix, AZ 85006-2727
Phoenix, AZ 85006-2727
Phone 602-839-6767
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