Individual
DR. SASHA COLLINS BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., NCSP
Contact information
Practice address
6 FOREST AVE, RYE, NY 10580-4210
(917) 226-4430
Mailing address
6 FOREST AVE, RYE, NY 10580-4210
(917) 226-4430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020736
NY
103TS0200X
School Psychologist
020736
NY
Other
Enumeration date
09/24/2015
Last updated
09/25/2015
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