Austin Blacklock
Austin Blacklock is a Speech-Language Pathologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
8101 Boat Club Rd Ste 160Fort Worth, TX 76179-3631
Phone: (214) 302-9725
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 116338 (TX) |
|---|
Record details
| NPI number | 1770186108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 18, 2020 |
| Last updated in NPPES | November 18, 2020 |
| Certification date | November 18, 2020 |
| Mailing address | 8101 Boat Club Rd Ste 160, Fort Worth, TX 76179-3631 |
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