Individual
KRISTINA BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 E 213TH ST, BRONX, NY 10467-5908
(347) 601-9406
Mailing address
748 E 213TH ST, BRONX, NY 10467-5908
(347) 601-9406
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1037696161
NY
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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