# DR. TRICIA DENISE THORNBURGH BLATCHFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093765661
- **Gender:** F
- **Credential:** PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1752 | KS | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1752 | KS | — |
| 103TC0700X | Clinical Psychologist | 1752 | KS | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 09/14/2018
