Stephanie M Blackburn, MED LMHC

NPI #1568522282 in South Easton, Massachusetts

Provider Information

NPI Number: 1568522282
Entity Type: Individual
Name: Stephanie M Blackburn, MED LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MED LMHC
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 45 EASTMAN STREET
City: South Easton
State: Massachusetts
ZIP Code: 02375
Phone: (508) 238-5766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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