Individual
DR. PATRICIA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21 TENNYSON PL, NEW ORLEANS, LA 70131-5444
(504) 433-2428
Mailing address
21 TENNYSON PL, NEW ORLEANS, LA 70131-5444
(504) 433-2428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
777
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
LA
Enumeration date
11/01/2007
Last updated
11/01/2007
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