Individual
DR. RICHARD ANTHONY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
817 MAIN ST N, CAMBRIDGE, MN 55008-1275
(763) 325-0300
Mailing address
817 MAIN ST N, CAMBRIDGE, MN 55008-1275
(763) 325-0300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4743
MN
Other
Enumeration date
11/20/2006
Last updated
12/23/2021
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