IndividualActive
Blake Conroy
NPI 1164269486 · Clinical Child & Adolescent Psychologist · Saint Paul, MN
Provider details
- NPI number
- 1164269486
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2233 University Ave W Ste 210
Saint Paul, MN 55114-1698
Phone: (651) 493-3945
Fax: (612) 699-0676
Approximate (ZIP-level) locationGet directions
Mailing address
2233 University Ave W Ste 210
Saint Paul, MN 55114-1698
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.