Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER LYNN BLICKENSTAFF, LCP
Active Sole ProprietorMRS. JENNIFER LYNN BLICKENSTAFF, LCP is a Cognitive & Behavioral Psychologist healthcare provider located in ANDOVER, Kansas. NPI 1639285398 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · ANDOVER, KS
Registration Details
- NPI Number
- 1639285398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2006 (19.834493831184 yrs)
- Last Updated
- Jul 8, 2007
- License
-
280 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 W CENTRAL AVESUITE HANDOVER, KS, 670029687Browse KS providers · Browse ZIP 67002
- Phone
- 3167339469
- Fax
- 3167338421
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
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.