Provider Demographics
NPI:1285511808
Name:BLACKMAN, ALLISON JENNA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:JENNA
Last Name:BLACKMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3716
Mailing Address - Country:US
Mailing Address - Phone:773-322-1363
Mailing Address - Fax:
Practice Address - Street 1:26 TIMBER LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3716
Practice Address - Country:US
Practice Address - Phone:773-322-1363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program