Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER KING BLACKLEDGE, PH.D.
Active Sole ProprietorJENNIFER KING BLACKLEDGE, PH.D. is a Psychologist healthcare provider located in ROANOKE, Texas. NPI 1326285743 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ROANOKE, TX
Registration Details
- NPI Number
- 1326285743
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2009 (17.640571515607 yrs)
- Last Updated
- Mar 7, 2014
- License
-
33692 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 TRAVIS STSTE 105ROANOKE, TX, 762628661Browse TX providers · Browse ZIP 76262
- Phone
- 8179889121
- Primary Specialty
-
Psychologist
103T00000X
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.