Individual
DR. RICHARD CHADWICK BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1444 W 38TH ST, ERIE, PA 16508-2346
(814) 835-7043
(814) 838-2925
Mailing address
1444 W 38TH ST, ERIE, PA 16508-2346
(814) 835-7043
(814) 838-2925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-006224-L
PA
103TC0700X
Clinical Psychologist
PSY-11983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001560510
—
PA
Enumeration date
06/30/2005
Last updated
10/05/2016
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