Individual
ISABELLE MARIE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1000 ALPINE AVE, BOULDER, CO 80304-3406
(303) 443-8500
Mailing address
1000 ALPINE AVE, BOULDER, CO 80304-3406
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
04/01/2021
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