Blackwell, Lee Roy

Blackwell, Lee Roy is an sole proprietor health care provider with primary practice located at 16152 Beach Blvd Ste 170 , Huntington Beach CA 92647-3818. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Blackwell, Lee Roy can be contacted via phone (714) 848-7280.

Contact Information

Primary practice address
16152 Beach Blvd Ste 170 Huntington Beach CA 92647-3818
Phone: (714) 848-7280
Fax: (714) 847-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY5642 California

Profile Details

NPI number 1306995089
LBN Legal business name Blackwell, Lee Roy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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