DR. HAROLD HERBERT BLAKELOCK


Address: 1836 N 1120 W # 2, Provo, UT 84604-1179
Phone: 8017228362

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
114279-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1836 N 1120 W # 2
City PROVO
State UT
Zip Code 84604-1179

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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831337369 Brian Bitting Psychologist 1300 E Center Street, Provo, UT 84606 2009-01-21

Providers in the same taxonomy and state

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

Competitor

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City PROVO
Zip Code 84604

Improve Information

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Dataset Information

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.

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