Amy Blackmon is a Clinical in Austin, Texas. Amy Blackmon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Blackmon is 1760514129. The last update date is 2023-06-12.
Amy Blackmon's current location address is 301 West Ave Unit 1808, Austin, Texas. You can contact this provider via phone number 5123507621 and fax number 5123669951. The mailing address for Amy Blackmon is 301 West Ave Unit 1808, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Blackmon |
|---|---|
| Address | 301 West Ave Unit 1808, Austin, Texas |
| Phone Number | 5123507621 |
| Fax Number | 5123669951 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760514129 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2023-06-12 |
Provider Mailing Address Detail
| Address | 301 West Ave Unit 1808 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787014774 |
| Phone Number | 5123507621 |
| Fax Number | 5123669951 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31510 |
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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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What is the unique 10-digit identifier code issued to Amy Blackmon by the Centers for Medicare & Medicaid Services?
The Amy Blackmon has been assigned the NPI (National Provider Identifier) 1760514129 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Amy Blackmon's physical address?
The Amy Blackmon is physically located at 301 West Ave Unit 1808, in the city of Austin, TX, with the postal code 787014774.
What is the area of specialization for Amy Blackmon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amy Blackmon 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 originally issue the 1760514129 to Amy Blackmon?
The Centers for Medicare & Medicaid Services originally issued the 1760514129 to Amy Blackmon on 2007-03-12.
When was the information regarding Amy Blackmon most recently updated?
The details pertaining to the Amy Blackmon, including its address, specialty, and other relevant information, were last refreshed on 2023-06-12.