Jennifer King Blackledge, PH.D.

NPI #1326285743 in Roanoke, Texas

Provider Information

NPI Number
1326285743
Entity Type
Individual
Name
Jennifer King Blackledge, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PH.D.
Enumeration Date
Jan 8, 2009
Last Updated
Mar 7, 2014

Practice Location

Address
209 TRAVIS ST
Address 2
STE 105
State
Texas
ZIP Code
76262-8661
Phone
(817) 988-9121

Specialties & Taxonomy Codes

Specialty
Psychologist

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