Lisa R Blackman in Little Rock Afb - Clinical

Lisa R Blackman - NPI 1255323838

Lisa R Blackman is a Clinical in Little Rock Afb, Arkansas. Lisa R Blackman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa R Blackman is 1255323838. The last update date is 2007-09-17.

Lisa R Blackman's current location address is 314 Mdos/ Sgoh, Little Rock Afb, Arkansas. You can contact this provider via phone number 5019877338 and fax number 5019878087. The mailing address for Lisa R Blackman is 314 Mdos/ Sgoh, Little Rock Afb, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa R Blackman
Address 314 Mdos/ Sgoh, Little Rock Afb, Arkansas
Phone Number 5019877338
Fax Number 5019878087
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1255323838
Provider Enumeration Date 2005-08-18
Last Updated Date 2007-09-17

Provider Mailing Address Detail

Address 314 Mdos/ Sgoh
City Little Rock Afb
State Arkansas (AR)
Post Code 72099
Phone Number 5019877338
Fax Number 5019878087

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
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

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FAQs about Lisa R Blackman

What is the unique 10-digit identification code assigned to Lisa R Blackman by the Centers for Medicare & Medicaid Services?

The Lisa R Blackman has been issued the NPI (National Provider Identifier) 1255323838, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Lisa R Blackman is physically located?

The Lisa R Blackman is situated at the following address: 314 Mdos/ Sgoh, Little Rock Afb, AR 72099.

What is the area of specialization for Lisa R Blackman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa R Blackman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1255323838 to Lisa R Blackman?

The Lisa R Blackman received its 1255323838 assignment from the Centers for Medicare & Medicaid Services on 2005-08-18.

When was the information pertaining to Lisa R Blackman most recently updated or revised?

The details related to Lisa R Blackman, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-17.

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