Jennifer Blum Psyd Licensed Psychologist PC
NPI #1639543390 in Santa Rosa, California
Provider Information
- NPI Number
- 1639543390
- Entity Type
- Organization
- Organization Name
- Jennifer Blum Psyd Licensed Psychologist PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 18, 2015
- Last Updated
- Nov 18, 2015
Practice Location
- Address
- 1144 SONOMA AVE STE 104
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-4812
- Phone
- (707) 331-4769
Authorized Official
- Name
- JENNIFER BLUM, PSYD
- Title
- OWNER
- Phone
- (707) 331-4769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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