Individual
DR. JASON RANDELLE BLIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
700 MITCHELL BRIDGE RD APT 114, ATHENS, GA 30606-6416
(912) 531-4509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1663
NH
103TC1900X
Counseling Psychologist
004353
GA
Other
Enumeration date
12/03/2019
Last updated
12/09/2025
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