DR. Lisa R Blackman, PH.D.

NPI #1255323838 in Little Rock Afb, Arkansas

Provider Information

NPI Number
1255323838
Entity Type
Individual
Name
DR. Lisa R Blackman, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Aug 18, 2005
Last Updated
Sep 17, 2007

Practice Location

Address
314 MDOS/ SGOH
Address 2
1090 ARNOLD DRIVE
ZIP Code
72099-0001
Phone
(501) 987-7338

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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