Active NPIIndividual provider

Dr. Amy Blackburn, PSYD

Psychologist in Dover, New Hampshire

NPI Number1417143298
Practice location
15 Old Rollinsford RD Ste 302, Dover, NH 03820-2819
Fax
603-742-4605
Last updated
August 6, 2020

Amy Blackburn is a Psychologist based in Dover, NH. Amy Blackburn practices in Dover, NH and has the professional credentials of PSYD. The NPI Number for Amy Blackburn is 1417143298 and holds a License No. 1470 (NH). The current practice location address for Amy Blackburn is 15 Old Rollinsford RD Ste 302, Dover, NH 03820-2819 and can be reached out via phone at 603-742-9200 and via fax at 603-742-4605.

Provider Profile Details

NPI Number
1417143298
Provider Name
Amy Blackburn
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
15 Old Rollinsford RD Ste 302, Dover, NH 03820-2819
Phone Number
603-742-9200
Fax Number
603-742-4605
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2007
Last Update Date
August 6, 2020
Certification Date
August 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Old Rollinsford RD Ste 302
Dover, NH 03820-2819
City
Dover
Zip
03820-2819
Phone Number
603-742-9200
Fax Number
603-742-4605
Dover, NH 03820Get directions →

Provider Business Mailing Address Details

Address
789 Central Ave
Dover, NH 03820-2526
City
Dover
State
NH
Zip
03820-2526
Phone Number
603-742-9200

License Information

License Number (1)
1470
License State (1)
NH
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
7407
License State (2)
MA
Taxonomy (2)
Psychologist, School · 103TS0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amy Blackburn, PSYD?

The NPI number of Dr. Amy Blackburn, PSYD is 1417143298. It was assigned on September 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Amy Blackburn, PSYD?

Dr. Amy Blackburn, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NH under license number 1470.

Where does Dr. Amy Blackburn, PSYD practice?

The practice location is 15 Old Rollinsford RD Ste 302, Dover, NH 03820-2819. The office can be reached at 603-742-9200 (phone) or 603-742-4605 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417143298 directly on the NPPES registry website.

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