Individual
DR. HAYLEY BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15833 BENT ROSE WAY, FORT WORTH, TX 76177
(256) 531-6658
Mailing address
15833 BENT ROSE WAY, FORT WORTH, TX 76177
(256) 531-6658
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36848
TX
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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