Individual
DR. LYDIA ISABELLE BLACKWOOD-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7826 EASTERN AVE NW STE 325, WASHINGTON, DC 20012-1334
(202) 726-6062
(202) 726-0032
Mailing address
7826 EASTERN AVE NW STE 325, WASHINGTON, DC 20012-1334
(202) 726-6062
(302) 726-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01445
DC
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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