Blacksmith, Jennifer Lynn

Blacksmith, Jennifer Lynn is an individual health care provider with primary practice located at 402 W Jefferson St , Kirksville MO 63501-3407. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Blacksmith, Jennifer Lynn can be contacted via phone (660) 627-2229.

Contact Information

Primary practice address
402 W Jefferson St Kirksville MO 63501-3407
Phone: (660) 627-2229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 073513 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2017010148 Missouri

Profile Details

NPI number 1114390598
LBN Legal business name Blacksmith, Jennifer Lynn
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated May 10th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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