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Dr. Garret Lane Blankenship, PSYD
Clinical Psychologist in Fort Worth, Texas
NPI 1295181196

Garret Lane Blankenship is a Clinical Psychologist based in Dallas, TX and is specialized in Clinical. Garret Lane Blankenship practices in Fort Worth, TX and has the professional credentials of PSYD. The NPI Number for Garret Lane Blankenship is 1295181196 and holds a License No. 005356 (Texas).

The current practice location address for Garret Lane Blankenship is 601 W Terrell Ave, Fort Worth, TX and can be reached out via phone at 817-702-3100. You can also correspond with Garret Lane Blankenship through the mailing address at PO BOX 732973, DALLAS, TX - 75373-3397 (mailing address contact number: ).

Location: 601 W Terrell Ave, Fort Worth, TX, 75373-3397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295181196
Provider Name
Garret Lane Blankenship
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
601 W Terrell Ave, Fort Worth, TX, 75373-3397
Phone Number
817-702-3100
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 W Terrell Ave
City
Fort Worth
State
Texas
Zip
76104-3243
Phone Number
817-702-3100
Fax Number
person
Provider Business Mailing Address Details
Address
601 W Terrell Ave
City
Fort Worth
State
Texas
Zip
76104-3243
Phone Number
817-702-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
005356 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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