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Active NPI 1518214899 Individual Practitioner Male Practitioner

Harold Herbert Blakelock

Psychologist - Forensic • Provo, UT

Professional Overview & Biography Verified Profile Summary

Harold Blakelock is a registered healthcare professional specializing in Psychologist - Forensic in Provo, UT. Practice services are available at 1836 N 1120 W # 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1836 N 1120 W # 2

Provo, UT 846041179

Telephone 8017228362

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Provo, UT (5 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License UT 114279-2501

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2012

Registered at 1836 N 1120 W # 2, PROVO, UT 846041179 (Tel: 8017228362)

📍
Updated Business Mailing Address August 06, 2012

Registered at 1836 N 1120 W # 2, PROVO, UT 846041179 (Tel: 8017228362)

👤
Provider Name / Credentials Updated August 06, 2012

Recorded as HAROLD BLAKELOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2012

Psychologist (License #114279-2501 in UT)

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Initial NPI Registration & Enumeration August 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518214899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2012
Last Update: August 06, 2012
Sole Proprietor: Yes

Mailing Address

1836 N 1120 W # 2

Provo, UT 846041179

Phone: 8017228362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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