Individual
MR. JOHN H BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
149 US HIGHWAY 70 W, GARNER, NC 27529-3942
(919) 329-6001
(919) 662-7883
Mailing address
149 US HIGHWAY 70 W, GARNER, NC 27529-3942
(919) 329-6001
(919) 662-7883
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018GN
BCBS OF NC
NC
05
—
8301182B
—
NC
Enumeration date
04/03/2007
Last updated
07/09/2007
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