Individual
JENNA BLEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
323 W 96TH ST STE 2, NEW YORK, NY 10025-6281
(410) 409-0055
Mailing address
323 W 96TH ST STE 2, NEW YORK, NY 10025-6281
(410) 409-0055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
023481
NY
Other
Enumeration date
06/22/2016
Last updated
01/15/2020
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