Individual
MEGAN M BLACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
210 W 21ST ST, CONCORDIA, KS 66901-5200
(785) 243-8900
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2718
KS
Other
Enumeration date
09/08/2016
Last updated
04/16/2019
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