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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ELIZABETH BLACKBURN, MASTERS IN SPEC ED

Active Sole Proprietor

MARY ELIZABETH BLACKBURN, MASTERS IN SPEC ED is a Developmental Therapist healthcare provider located in LOGANSPORT, Indiana. NPI 1053893198 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · LOGANSPORT, IN

Registration Details

NPI Number
1053893198
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2018 (7.9684669954274 yrs)
Last Updated
Sep 5, 2018
Sole Proprietor
Yes

Practice Information

Address
168 W COUNTY ROAD 500 N
LOGANSPORT, IN, 469478662
Browse IN providers · Browse ZIP 46947
Phone
2603304450
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in LOGANSPORT, IN

Name Credential NPI
MISS ELAINE ASHLYN EVANICH 1386129773
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.