Active NPIIndividual provider

Stephanie M Blackburn, MED LMHC

Psychologist in South Easton, Massachusetts

NPI Number1568522282
Practice location
45 Eastman Street, South Easton, MA 02375
Fax
508-238-8045
Last updated
July 8, 2007

Stephanie M Blackburn is a Psychologist based in South Easton, MA. Stephanie M Blackburn practices in South Easton, MA and has the professional credentials of MED LMHC. The NPI Number for Stephanie M Blackburn is 1568522282 and holds a License No. 5679 (MA). The current practice location address for Stephanie M Blackburn is 45 Eastman Street, South Easton, MA 02375 and can be reached out via phone at 508-238-5766 and via fax at 508-238-8045.

Provider Profile Details

NPI Number
1568522282
Provider Name
Stephanie M Blackburn
Credential
MED LMHC
Provider Entity Type
Individual
Gender
Female
Address
45 Eastman Street, South Easton, MA 02375
Phone Number
508-238-5766
Fax Number
508-238-8045
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Other Names
-- Stephanie Lynn Martin (Former Name)
Provider Enumeration Date
December 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Eastman Street
South Easton, MA 02375
Zip
02375
Phone Number
508-238-5766
Fax Number
508-238-8045
South Easton, MA 02375Get directions →

Provider Business Mailing Address Details

Address
45 Eastman Street
South Easton, MA 02375
City
South Easton
State
MA
Zip
02375
Phone Number
508-238-5766
Fax Number
508-238-8045

License Information

License Number
5679
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

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 Stephanie M Blackburn, MED LMHC?

The NPI number of Stephanie M Blackburn, MED LMHC is 1568522282. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Stephanie M Blackburn, MED LMHC?

Stephanie M Blackburn, MED LMHC is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 5679.

Where does Stephanie M Blackburn, MED LMHC practice?

The practice location is 45 Eastman Street, South Easton, MA 02375. The office can be reached at 508-238-5766 (phone) or 508-238-8045 (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 1568522282 directly on the NPPES registry website.

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