Individual
DR. JESSICA L BLASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7511 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Mailing address
7511 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013-109
KY
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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