Individual
DR. JENNIFER BLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 SMITHTOWN BYP, SUITE 121, HAUPPAUGE, NY 11788-2524
(631) 742-8523
(631) 979-0438
Mailing address
1 NORMA LN, KINGS PARK, NY 11754-4520
(631) 742-8523
(631) 979-0438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041691
VALUEOPTIONS
NY
01
—
P3479888
OXFORD HEALTH PLANS
NY
Enumeration date
03/19/2007
Last updated
01/25/2008
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