Individual
DR. CARLY B BLACKSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
46 S GLEBE RD, SUITE 103, ARLINGTON, VA 22204-1655
(703) 521-6004
(701) 521-6342
Mailing address
46 S GLEBE RD, SUITE 103, ARLINGTON, VA 22204-1655
(703) 521-6004
(701) 521-6342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003993
VA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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