CAROL A BUCHHOLZ BLACKBURN CSW

BRAD BENNETT PSYCHOLOGY PC

Dr CAROL A BUCHHOLZ BLACKBURN CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 1994.

Contact

BRAD BENNETT PSYCHOLOGY PC

7325 STATE ROUTE 5
CLINTON
NY
133233435

Tel: 3158591973

CAROL A BUCHHOLZ BLACKBURN CSW Information

Npi 1578516860
Pac Id 6002894649
Professional Enrollment Id I20040710000208
Last Name BUCHHOLZ BLACKBURN
First Name CAROL
Middle Name A
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 1994
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BRAD BENNETT PSYCHOLOGY PC
Group Practice Pac Id 2668450305
Number Of Group Practice Members 9
Line 1 Street Address 7325 STATE ROUTE 5
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON
State NY
Zip Code 133233435
Phone Number 3158591973
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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