Individual
JANICE A. BLALOCK
Active
Individual
JANICE A. BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2-4916
TX
103T00000X
Psychologist
2-4916
TX
103TC0700X
Clinical Psychologist
Primary
2-4916
TX
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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