Individual
SCOTT L BLACKWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9426 INIDIAN SCHOOL RD NE, SUITE 2 SCOTT BLACKWELL PHD, ALBUQUERQUE, NM 87112
(505) 342-0400
(505) 342-0500
Mailing address
9426 INDIAN SCHOOL RD NE, SUITE 2 SCOTT BLACKWELL PHD, ALBUQUERQUE, NM 87112
(505) 342-0400
(505) 342-0500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NM295
NM
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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