DR. HAROLD HERBERT BLAKELOCK (NPI# 1518214899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518214899 |
Entity Type | Individual |
Full Name | DR. HAROLD HERBERT BLAKELOCK |
Practice Address |
1836 N 1120 W # 2 Provo UT 84604-1179 |
Practice Telephone | 8017228362 |
Mailing Telephone | 8017228362 |
Enumeration Date | 2012-08-06 |
Last Update Date | 2012-08-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
114279-2501 | UT | Behavioral Health & Social Service Providers |
Street Address |
1836 N 1120 W # 2 |
City | PROVO |
State | UT |
Zip Code | 84604-1179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
Find all providers in zip 84604 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831337369 | Brian Bitting | Psychologist | 1300 E Center Street, Provo, UT 84606 | 2009-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477925394 | Neurobehavioral Sciences, PC | Psychologist | 43 W 9000 S, Suite B5, Sandy, UT 84070-2038 | 2015-10-30 |
1124441795 | Sharelle Baldwin | Psychologist | 43 W 9000 S, # B5, Sandy, UT 84070-2038 | 2014-02-01 |
Please comment or provide details below to improve the information on DR. HAROLD HERBERT BLAKELOCK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.