Organization
PIEDMONT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN CARSON BLACKWOOD JR. PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(434) 315-8813
Entity
Organization
Contact information
Practice address
200B MILNWOOD RD, FARMVILLE, VA 23901-2817
(434) 315-8813
(434) 315-5913
Mailing address
200B MILNWOOD RD, FARMVILLE, VA 23901-2817
(434) 315-8813
(434) 315-5913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003954
VA
103TC0700X
Clinical Psychologist
Primary
0810001049
VA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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