Richard Chadwick Blackford PH.D.

NPI 1053318360 - Psychologist - 103TC0700X

NPI Details
NPI 1053318360
Gender Male
Enumeration Date 06/30/2005
Last Updated 05/31/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3800 W 12TH ST
ERIE PA, 16505-3380, US
Phone (814) 835-7043
Fax (814) 838-2925
Business Location
3800 W 12TH ST
ERIE PA, 16505-3380, US
Phone (814) 835-7043
Fax (814) 838-2925
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY-11983
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According to our database, Dr. Richard Chadwick Blackford PH.D. NPI is 1053318360, taxonomy code is 103TC0700X and license number is PSY-11983, license state is located at California. Richard Chadwick Blackford PH.D. physically located at 3800 W 12th St, Erie PA, 16505-3380. NPI Number Richard Chadwick Blackford PH.D. has the Individual type.

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1053318360 NPI number is provided on an as is basis without warranty of any kind. 1053318360 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Chadwick Blackford PH.D. are for informational purposes only.