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

Dr. Michelle Blose, PSYD

Individual provider Clinical Psychologist · NPI 1750995114

Dr. Michelle Blose, PSYD is a Clinical Psychologist in Pineville, Louisiana. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone: (318) 473-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35SI00757700 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 203-032 (NJ)

Record details

NPI number1750995114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

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