Individual
DR. NANCY BLACKMUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
865 CENTRAL AVE APT B401, NEEDHAM, MA 02492-1366
(508) 872-3568
Mailing address
865 CENTRAL AVE APT B401, NEEDHAM, MA 02492-1366
(508) 872-3568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3765
MA
Other
Enumeration date
07/20/2006
Last updated
06/17/2024
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