Individual provider · NPI-1

Pamela Kay Blackwell

Marriage & Family Therapist · Bishop, CA

NPI number1740376532
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1740376532
Entity type
Individual (NPI-1)
Name
Pamela Kay Blackwell
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist19310CAYes

Other names

  • Pam Kay Blackwell (Other Name)

Practice location

162 Grove St Ste J
Bishop, CA 93514-2652

Phone 760-873-6533 · Fax 760-873-3277

Mailing address

162 Grove St Ste J
Bishop, CA 93514-2652

Phone 760-873-6533 · Fax 760-873-3277

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