Individual
DR. DANA ROBERT BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9601 GAYTON RD, SUITE 206, RICHMOND, VA 23238-4963
(804) 741-4500
(804) 741-9188
Mailing address
9601 GAYTON RD, SUITE 206, RICHMOND, VA 23238-4963
(804) 741-4500
(804) 741-9188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001591
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03818400
MAGELLAN
VA
01
—
056527
ANTHEM
VA
Enumeration date
01/09/2007
Last updated
07/08/2007
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