Lynn A. Blackburn in Milwaukee - Clinical Neuropsychologist
Lynn A. Blackburn - NPI 1619994670
Lynn A. Blackburn is a Clinical Neuropsychologist in Milwaukee, Wisconsin. Lynn A. Blackburn practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lynn A. Blackburn is 1619994670. The last update date is 2007-10-12.
Lynn A. Blackburn's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148053666. The mailing address for Lynn A. Blackburn is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn A. Blackburn |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148053666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1619994670 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148053666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PYR0372 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39074700 | WI | -- | |
| 6154255 | UBH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lynn A. Blackburn by the Centers for Medicare & Medicaid Services?
The Lynn A. Blackburn has been assigned the NPI (National Provider Identifier) 1619994670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lynn A. Blackburn?
The Lynn A. Blackburn is physically situated at 9200 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532263522.
What is Lynn A. Blackburn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lynn A. Blackburn is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Lynn A. Blackburn receive the assignment of its 1619994670 from the Centers for Medicare & Medicaid Services?
The Lynn A. Blackburn was issued its 1619994670 by the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date were the details pertaining to Lynn A. Blackburn last refreshed?
The information related to the Lynn A. Blackburn, including its address, specialty, and other relevant details, was last updated on 2007-10-12.