Mildred L Blackford in Indianapolis - Clinical
Mildred L Blackford - NPI 1740282110
Mildred L Blackford is a Clinical in Indianapolis, Indiana. Mildred L Blackford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mildred L Blackford is 1740282110. The last update date is 2022-09-14.
Mildred L Blackford's current location address is 355 W 16th St., Indianapolis, Indiana. You can contact this provider via phone number 3179637070 and fax number 3172575300. The mailing address for Mildred L Blackford is 355 W 16th St., Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mildred L Blackford |
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Address | 355 W 16th St., Indianapolis, Indiana |
Phone Number | 3179637070 |
Fax Number | 3172575300 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1740282110 |
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Provider Enumeration Date | 2005-08-15 |
Last Updated Date | 2022-09-14 |
Provider Mailing Address Detail
Address | 355 W 16th St. |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462022207 |
Phone Number | 3179637070 |
Fax Number | 3172575300 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 20040561A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
148297000 | IN | MAGELLAN | |
6038 | IN | MPLAN | |
182274 | IN | BCBS | |
226467 | IN | MHN | |
100339990C | IN | -- | |
11383545 | IN | CAQH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mildred L Blackford?
The Mildred L Blackford has been issued the NPI (National Provider Identifier) 1740282110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mildred L Blackford's facilities are situated?
The facilities of Mildred L Blackford are physically located at the following address: 355 W 16Th St., Indianapolis, IN, 462022207.
What is the area of specialization for Mildred L Blackford, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mildred L Blackford 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 1740282110 to Mildred L Blackford?
The Mildred L Blackford received its 1740282110 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information regarding Mildred L Blackford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mildred L Blackford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-09-14.