# DR. LEIGH FYLSTRA BLALOCK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528241569
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 135213 | NC | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 2010-02032 | NC | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 06/08/2011