Search › Virginia › 225100000X
Maxwell Blake
NPI 1023597382 · on the registry since 2018
Practice
- Address
- 1600 Wilson Blvd Ste 102
Arlington, VA 22209 - Phone
- (703) 935-1996
- Fax
- (703) 935-1995
- Organisation at this address
- Heartswell, Llc
Ascent Behavioral Wellness
Alexis Herman, Psyd L.L.C.
Drs. Wu And Palabrica, D.D.S., P.C.
Professional Sportscare & Rehab, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia