Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JANE MARIE BLACKWELL, PH.D.
Active Sole ProprietorDR. JANE MARIE BLACKWELL, PH.D. is a Psychologist healthcare provider located in IVINS, Utah. NPI 1841311875 is currently active in the NPPES registry. Verify at CMS.
Psychologist · IVINS, UT
Registration Details
- NPI Number
- 1841311875
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2007 (19.367773832555 yrs)
- Last Updated
- Dec 21, 2011
- License
-
112636-2501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
898 MOLINARO CTIVINS, UT, 847386493Browse UT providers · Browse ZIP 84738
- Phone
- 8015508707
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.