Individual
DR. JENNIFER ANN BLACKLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2700 NW 42ND ST # NA, BOCA RATON, FL 33434-2575
(561) 414-8978
Mailing address
2700 NW 42ND ST # NA, BOCA RATON, FL 33434-2575
(561) 414-8978
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1517
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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