Individual
JENNIFER A BLANCHETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1321 WASHINGTON AVE, PORTLAND, ME 04103-3654
(207) 749-2343
Mailing address
1321 WASHINGTON AVE, SUITE 304, PORTLAND, ME 04103-3654
(207) 749-2343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1372
ME
Other
Enumeration date
03/07/2013
Last updated
05/25/2015
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