Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LANE BLAIR, PH.D
ActiveKELLY LANE BLAIR, PH.D is a Clinical Psychologist healthcare provider located in JACKSON, Tennessee. NPI 1891711131 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JACKSON, TN
Registration Details
- NPI Number
- 1891711131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.063595644399 yrs)
- Last Updated
- Jul 31, 2009
- Licenses
-
1706 (TN)1706 (TN)
Practice Information
- Address
-
708 W FOREST AVEJACKSON, TN, 383013901Browse TN providers · Browse ZIP 38301
- Phone
- 7314254930
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Rehabilitation Psychologist
Other Clinical Psychologist Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID E. PICKERING | PH.D. | 1578569604 |
| JOHN B HOPKINS | P.H.D. | 1942279021 |
| DR. PAUL DESCHENES | PSY.D. | 1699726216 |
| DR. MICHAEL THOMAS ANTON | PSY.D. | 1578669198 |
| DR. CONSTANCE B CALDWELL | PH.D. | 1841382967 |
| RICHARD SPRING | PHD | 1134214224 |
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.