DR. Harold Herbert Blakelock

NPI #1518214899 in Provo, Utah

Provider Information

NPI Number
1518214899
Entity Type
Individual
Name
DR. Harold Herbert Blakelock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Forensic
Enumeration Date
Aug 6, 2012
Last Updated
Aug 6, 2012

Practice Location

Address
1836 N 1120 W # 2
City
Provo
State
Utah
ZIP Code
84604-1179
Phone
(801) 722-8362

Specialties & Taxonomy Codes

Specialty
Psychologist - ForensicForensic

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