Individual
DR. LEE ROY BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16152 BEACH BLVD STE 170, HUNTINGTON BEACH, CA 92647-3818
(714) 848-7280
(714) 847-8909
Mailing address
16152 BEACH BLVD STE 170, HUNTINGTON BEACH, CA 92647-3818
(714) 848-7280
(714) 847-8909
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY5642
CA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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