MR. MARK DANIEL BLACKHURST MA NPI 1760770192

NPI Information

NPI: 1760770192
Provider Name: MR. MARK DANIEL BLACKHURST, MA
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
439 LOMBARD ST
SAN FRANCISCO, CA
ZIP 94133
Phone: (408) 513-5718
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MR. Mark Daniel Blackhurst, MA is a forensic psychologist in San Francisco, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. MR. Mark Daniel Blackhurst, MA NPI is 1760770192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

439 LOMBARD ST
SAN FRANCISCO, CA
ZIP 94133-416
Phone: (408) 513-5718

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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