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DR. LYNN A. BLACKBURN PH.D.
NPI 1619994670
Clinical Neuropsychologist in Milwaukee, WI

Active since July 16, 2006
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-3666 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lynn A. Blackburn Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYNN A. BLACKBURN PH.D. (NPI 1619994670) is an individual clinical neuropsychologist in Milwaukee, Wisconsin, licensed in Wisconsin (2664) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619994670
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LYNN A. BLACKBURNCredential: PH.D.
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address10000 W Innovation DrMilwaukee, WI 53226-4837 · (414) 456-5006 · Fax (414) 456-6259
Phone(414) 805-3666
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateOctober 12, 2007
✔ NPI 1619994670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in WI · 2664✔ Licensed in MO · PYR0372
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Names 1

Former Name (1)Lynn A. Bennett

Other Identifiers 2

Medicaid39074700WI
Other6154255Ubh

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Blackburn's NPI number?

The NPI number for Lynn Blackburn is 1619994670. It was assigned to this individual provider in the NPPES registry on July 16, 2006. The provider is also known as Lynn A. Bennett.

Where is Lynn Blackburn located?

Lynn Blackburn practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-3666.

What is Lynn Blackburn's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Lynn Blackburn was last updated on October 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.