Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BLOSSOM, MS
ActiveJENNIFER BLOSSOM, MS is a Child, Clinical Psychologist healthcare provider located in AUGUSTA, Maine. NPI 1063947299 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · AUGUSTA, ME
Registration Details
- NPI Number
- 1063947299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2017 (9.2622261749999 yrs)
- Last Updated
- Oct 28, 2025
- License
-
PS2514 (ME)
Practice Information
- Address
-
6 E CHESTNUT STAUGUSTA, ME, 043305758Browse ME providers · Browse ZIP 04330
- Phone
- 2076232977
- Fax
- 2076239374
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.