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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