Individual
JENNIFER BLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1577 SOUTH AVE, ROCHESTER, NY 14620-3914
(585) 739-5155
Mailing address
1577 SOUTH AVE, ROCHESTER, NY 14620-3914
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018731
NY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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