Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dudley David Blake, PHD

Individual provider Clinical Psychologist · NPI 1578676714

Dr. Dudley David Blake, PHD is a Clinical Psychologist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Partly verified

Some contact details are missing from the federal record.

Boise VA Medical Center 500 West Fort St
Boise, ID 83701-4598
Phone: (208) 422-1125
Fax: (208) 422-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY313 (ID)

Record details

NPI number1578676714
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address701 E Jefferson St, Boise, ID 83712-6413

Other providers in Boise