Individual
MR. DAVID E BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Mailing address
3715 STONEBROOK CT, BROOKFIELD, WI 53005-2266
(262) 783-6708
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1963
WI
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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