Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN BLACKSMITH, PH.D
ActiveJENNIFER LYNN BLACKSMITH, PH.D is a Psychologist healthcare provider located in KIRKSVILLE, Missouri. NPI 1114390598 is currently active in the NPPES registry. Verify at CMS.
Psychologist · KIRKSVILLE, MO
Registration Details
- NPI Number
- 1114390598
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2015 (10.75134485545 yrs)
- Last Updated
- May 10, 2017
- Licenses
-
073513 (IA)2017010148 (MO)
Practice Information
- Address
-
402 W JEFFERSON STKIRKSVILLE, MO, 635013407Browse MO providers · Browse ZIP 63501
- Phone
- 6606272229
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
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.