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Dr. Mildred L Blackford, PHD
Clinical Psychologist in Crown Point, Indiana
NPI 1740282110

Mildred L Blackford is a Clinical Psychologist based in Indianapolis, IN and is specialized in Clinical. Mildred L Blackford practices in Crown Point, IN and has the professional credentials of PHD. The NPI Number for Mildred L Blackford is 1740282110 and holds a License No. 20040561A (Indiana).

The current practice location address for Mildred L Blackford is 2100 N Main St # 304, Crown Point, IN and can be reached out via phone at 574-546-1900 and via fax at 574-546-1999.

Location: 2100 N Main St # 304, Crown Point, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740282110
Provider Name
Mildred L Blackford
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2100 N Main St # 304, Crown Point, IN, 46219-4959
Phone Number
574-546-1900
Fax Number
574-546-1999
Provider Enumeration Date
08/15/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148297000 01 IN MAGELLAN
226467 01 IN MHN
100339990C 05 IN
11383545 01 IN CAQH
000000182274 01 IN BCBS
000000006038 01 IN MPLAN
institution
Provider Business Practice Location Address Details
Address
2100 N Main St # 304
City
Crown Point
State
Indiana
Zip
46307-1877
Phone Number
574-546-1900
Fax Number
574-546-1999
person
Provider Business Mailing Address Details
Address
2100 N Main St # 304
City
Crown Point
State
Indiana
Zip
46307-1877
Phone Number
574-546-1900
Fax Number
574-546-1999
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20040561A (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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