Blalock, Kyla Machell
Blalock, Kyla Machell is an individual health care provider with primary practice located at 3500 Westgate Dr Ste 900 , Durham NC 27707-2534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Blalock, Kyla Machell can be contacted via phone (919) 891-3096.Contact Information
Primary practice address
3500 Westgate Dr Ste 900
Durham NC 27707-2534
Phone: (919) 891-3096
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5393 | North Carolina |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 5393 | North Carolina |
Profile Details
NPI number | 1598245292 |
---|---|
LBN Legal business name | Blalock, Kyla Machell |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2018 |
Last updated | Dec 6th, 2023 - about last year |
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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