Stephanie M Blackburn, MED LMHC is a
Psychologist based in South Easton, Massachusetts. Stephanie M Blackburn is licensed to practice in Massachusetts (license number 5679) and her current practice location is
45 Eastman Street, South Easton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 238-5766.
NPI number for Stephanie M Blackburn is 1568522282 and her current mailing address is 45 Eastman Street, South Easton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568522282.
Healthcare Provider's Profile
Full Name | Stephanie M Blackburn |
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Gender | Female |
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Speciality | Psychologist |
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Location | 45 Eastman Street, South Easton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568522282
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Stephanie M Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568522282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 5679 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie M Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie M Blackburn, MED LMHC 45 Eastman Street, South Easton, MA 02375 Ph: (508) 238-5766 | Stephanie M Blackburn, MED LMHC 45 Eastman Street, South Easton, MA 02375 Ph: (508) 238-5766 |
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