IndividualActive
Blake Lancaster, PHD
NPI 1255521787 · Clinical Child & Adolescent Psychologist · Ann Arbor, MI
Provider details
- NPI number
- 1255521787
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PLP302 (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
333 Maynard St Ste 402
Ann Arbor, MI 48104-2282
Phone: (269) 998-1005
Approximate (ZIP-level) locationGet directions
Mailing address
333 Maynard St Ste 402
Ann Arbor, MI 48104-2282
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.