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Contact Information

HAYLEY BLACKWOOD, PhD
15833 BENT ROSE WAY
FORT WORTH, TX76177
 Phone: 256-531-6658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HAYLEY BLACKWOOD · (Female)

NPI # 1689115438
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/13/2017
Last updated 03/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 36848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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