SearchIllinois103TC0700X

Martin Blackman, PSY.D

NPI 1659581247 · on the registry since 2007 · sole proprietor

Practice

Address
207 3rd St
Wilmette, IL 60091
Phone
(847) 614-8936

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois