DR. Jane Marie Blackwell, PH.D.

NPI #1841311875 in Ivins, Utah

Provider Information

NPI Number: 1841311875
Entity Type: Individual
Name: DR. Jane Marie Blackwell, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 3, 2007
Last Updated: Dec 21, 2011

Practice Location

Address: 898 MOLINARO CT
City: Ivins
State: Utah
ZIP Code: 84738-6493
Phone: (801) 550-8707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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