Individual
DR. LAUREL EVE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., M.B.A.
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(512) 228-2441
Mailing address
3312 GLENVIEW AVE, AUSTIN, TX 78703-1447
(512) 228-2441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
BP10023295
TX
2084P0800X
Psychiatry Physician
DO2515
ME
2084P0800X
Psychiatry Physician
Primary
M4715
TX
390200000X
Student in an Organized Health Care Education/Training Program
054073
CT
Other
Enumeration date
06/28/2006
Last updated
02/23/2023
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