Individual
DR. KYLA MACHELL BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3500 WESTGATE DR STE 900, DURHAM, NC 27707-2534
(919) 891-3096
Mailing address
3500 WESTGATE DR STE 900, DURHAM, NC 27707-2534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
5393
NC
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5393
NC
Other
Enumeration date
08/21/2018
Last updated
12/06/2023
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