IndividualActive
Aimee Blackham, PHD
NPI 1114332038 · Counseling Psychologist · Ruston, LA
Provider details
- NPI number
- 1114332038
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1373 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
622 Burgessville Rd
Ruston, LA 71270-5154
Phone: (318) 224-7223
Fax: (318) 414-1004
Approximate (ZIP-level) locationGet directions
Mailing address
2804 Lakeview Dr
Ruston, LA 71270-5254
Registry dates
- Enumerated
- 2014-06-30
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.