Organization
RICHARD C. BLACKFORD, PH.D. P.C.
Active
Organization
RICHARD C. BLACKFORD, PH.D. P.C.
Active
Other names
Affiliated Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C. BLACKFORD PHD (PSYCHOLOGIST)
(814) 835-7043
Entity
Organization
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
PS006224L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053318360
PERSONAL NPI
—
Enumeration date
04/01/2015
Last updated
10/05/2016
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