IndividualActive
Harold Blakelock
NPI 1518214899 · Forensic Psychologist · Provo, UT
Provider details
- NPI number
- 1518214899
- Entity type
- Individual
- Primary specialty
- Forensic PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 114279-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1836 N 1120 W # 2
Provo, UT 84604-1179
Phone: (801) 722-8362
Approximate (ZIP-level) locationGet directions
Mailing address
1836 N 1120 W # 2
Provo, UT 84604-1179
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.