Tegan Blackbird, PH D

NPI #1841211026 in Manheim, Pennsylvania

Provider Information

NPI Number: 1841211026
Entity Type: Individual
Name: Tegan Blackbird, PH D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH D
Enumeration Date: Jul 22, 2006
Last Updated: Aug 10, 2020

Practice Location

Address: 108 S MAIN ST
City: Manheim
State: Pennsylvania
ZIP Code: 17545-1602
Phone: (717) 964-8897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist	103T00000X

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