Individual
DR. WILLIAM F. BLACKERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
141 CHESAPEAKE LN, CLARKSVILLE, TN 37040-5241
(615) 445-9088
Mailing address
3393 LAKE BROOK BLVD, KNOXVILLE, TN 37909-3708
(615) 445-9088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0000001231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12163042
CAQH PIN
TN
05
—
1519219
—
TN
Enumeration date
02/15/2007
Last updated
10/23/2025
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