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DR. LYNN A. BLACKBURN PH.D.

Clinical Neuropsychologist

Milwaukee, Wisconsin

Provider NPI: 1619994670

Provider Information:
DR. LYNN A. BLACKBURN PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
9200 W WISCONSIN AVE  MILWAUKEE, WI 53226 US
Tel: 414-805-3666  Fax: --

Business Mailing Address:
10000 W INNOVATION DR  MILWAUKEE, WI 53226 US
Tel: 414-456-5006  Fax: 414-456-6259

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MOPYR0372
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2664

Other Provider Identifiers:

IssuerNumberStateType
UBH615425501
39074700WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS WI - Page 1

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