TIFFANY BLAKE MS PHD NPI 1649898750

NPI Information

  • NPI: 1649898750
  • Provider Name: TIFFANY BLAKE, MS, PHD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 525 ROUTE 73 N STE 104
    MARLTON, NJ
    ZIP 08053
  • Phone: (609) 356-3542

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NPI Details

Tiffany Blake, MS, PHD is a mental health counselor in Marlton, NJ. Tiffany Blake, MS, PHD NPI is 1649898750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 ROUTE 73 N STE 104
MARLTON, NJ
ZIP 08053-422
Phone: (609) 356-3542

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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