SearchIndiana103TC0700X

Mildred Blackford, PHD

NPI 1740282110 · on the registry since 2005

Practice

Address
2100 N Main St # 304
Crown Point, IN 46307
Phone
(574) 546-1900
Fax
(574) 546-1999
Clinicians at this address
40

Additional practice sites

  • 550 University Blvd, Indianapolis, IN
  • 355 W 16th St., Indianapolis, IN

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-10

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 Indiana