NPI 1174644579

John H Blackshear, PHD

Practitioner Clinical Psychologist Garner, NC

Practice location

Address: 149 US Highway 70 W, Garner, NC 27529-3942
Phone: (919) 329-6001
Fax: (919) 662-7883

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2894 (NC)

Other Psychologist providers in North Carolina →

Registry record

NPI: 1174644579
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.