Individual
DR. AMY BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE P2, AUSTIN, TX 78759-8664
(512) 350-7621
(737) 237-0779
Mailing address
301 WEST AVE UNIT 1808, AUSTIN, TX 78701-4774
(512) 350-7621
(512) 366-9951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
31510
TX
103TC0700X
Clinical Psychologist
Primary
31510
TX
Other
Enumeration date
03/12/2007
Last updated
06/12/2023
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