Individual
DR. MELISSA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5565 STERRETT PL, STE 320, COLUMBIA, MD 21044-2665
(410) 772-7155
Mailing address
5565 STERRETT PL, STE 320, COLUMBIA, MD 21044-2665
(410) 772-7155
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
05153
MD
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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