Individual
DEBORAH WEBB BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Mailing address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07710283
—
VA
Enumeration date
08/15/2006
Last updated
10/19/2007
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