Individual
ALLISON BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 BURNET AVE, MLC 4002, CINCINNATI, OH 45229-3026
(513) 636-9645
(513) 636-3800
Mailing address
3333 BURNET AVE, MLC 4002, CINCINNATI, OH 45229-3026
(513) 636-9645
(513) 636-3800
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7495
OHIO LICENSE
OH
Enumeration date
02/04/2009
Last updated
10/12/2016
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