Irene T Blackford Phd Llc

LBN: Irene T Blackford Phd Llc
Irene T Blackford Phd Llc is an health care organization with primary practice located at 1373B W 6Th St , Erie PA 16505-2503. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Irene T Blackford Phd Llc can be contacted via phone (814) 873-4141, or through Blackford, Irene via phone (814) 873-4141.

Contact Information

Primary practice address
1373B W 6Th St Erie PA 16505-2503
Phone: (814) 873-4141
Fax: (814) 459-4673
Website:
Map and Directions
Authorized official contact:
Name: Blackford, Irene PHD
Phone: (814) 873-4141

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS006739 Pennsylvania

Profile Details

NPI number 1245650845
LBN Legal business name Irene T Blackford Phd Llc
DBA Doing business as
Authorized official Blackford, Irene PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2014
Last updated Nov 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245650845 NPPES
Pennsylvania Other 349983 MEDICARE PTAN

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