Individual
DEBBIE BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14034 HOOPER RD, PEARLAND, TX 77047-5212
(713) 516-5165
Mailing address
PO BOX 83, HOCKLEY, TX 77447-0083
(713) 516-5165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12367
TX
103TS0200X
School Psychologist
6081
TX
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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