Jennifer Lynn Blickenstaff in Andover - Cognitive & Behavioral
Jennifer Lynn Blickenstaff - NPI 1639285398
Jennifer Lynn Blickenstaff is a Cognitive & Behavioral in Andover, Kansas. Jennifer Lynn Blickenstaff practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Jennifer Lynn Blickenstaff is 1639285398. The last update date is 2007-07-08.
Jennifer Lynn Blickenstaff's current location address is 310 W Central Ave, Andover, Kansas. You can contact this provider via phone number 3167339469 and fax number 3167338421. The mailing address for Jennifer Lynn Blickenstaff is 310 W Central Ave, Andover, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Blickenstaff |
|---|---|
| Address | 310 W Central Ave, Andover, Kansas |
| Phone Number | 3167339469 |
| Fax Number | 3167338421 |
| Sole Proprietor | Y |
| Credentials | LCP |
NPI Number Detail
| NPI Number | 1639285398 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 W Central Ave |
|---|---|
| City | Andover |
| State | Kansas (KS) |
| Post Code | 670029687 |
| Phone Number | 3167339469 |
| Fax Number | 3167338421 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 280 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique identifier code issued to Jennifer Lynn Blickenstaff by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Blickenstaff has been assigned the NPI (National Provider Identifier) 1639285398. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jennifer Lynn Blickenstaff's facilities are situated?
The facilities of Jennifer Lynn Blickenstaff are physically located at the following address: 310 W Central Ave, Andover, KS, 670029687.
What is Jennifer Lynn Blickenstaff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Lynn Blickenstaff is Cognitive & Behavioral, and the corresponding taxonomy classification code for this specialized field is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639285398 to Jennifer Lynn Blickenstaff?
The Centers for Medicare & Medicaid Services originally issued the 1639285398 to Jennifer Lynn Blickenstaff on 2006-08-22.
As of what date was the information regarding Jennifer Lynn Blickenstaff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Lynn Blickenstaff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.