Individual provider · Type 1 NPI

Tiana Blackburn, PSYD CANDIDATE

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1275949588 Active

Practice location

3200 Motor Ave
Los Angeles, CA 90034-3710

Call (310) 836-1223 Map

Mailing address

PO Box 1602
Lompoc, CA 93438-1602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275949588

Tiana Blackburn, PSYD CANDIDATE's National Provider Identifier is 1275949588, issued on Jul 8, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 16, 2014.