Doctor Name: | DR. CLAUDIA A BLACKBURN |
NPI Number: | 1326136284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 524 Front Street Lititz, PA - 175431708 |
Business Phone Number: | 7172997202 |
Business Fax Number: | 7176273550 |
Mailing Address: | 711 Skyline Drive, LANCASTER |
State: | PA |
Postal Code: | 176014441 |
Phone Number: | 7172997202 |
Fax Number: | 7176273550 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |