Jennifer Blitz is a Clinical in Kings Park, New York. Jennifer Blitz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Blitz is 1013031483. The last update date is 2008-01-25.
Jennifer Blitz's current location address is 1 Norma Ln, Kings Park, New York. You can contact this provider via phone number 6317428523 and fax number 6319790438. The mailing address for Jennifer Blitz is 1 Norma Ln, Kings Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Blitz |
|---|---|
| Address | 1 Norma Ln, Kings Park, New York |
| Phone Number | 6317428523 |
| Fax Number | 6319790438 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1013031483 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 1 Norma Ln |
|---|---|
| City | Kings Park |
| State | New York (NY) |
| Post Code | 117544520 |
| Phone Number | 6317428523 |
| Fax Number | 6319790438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 13716 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P3479888 | NY | OXFORD HEALTH PLANS | |
| 41691 | NY | VALUEOPTIONS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer Blitz?
The Jennifer Blitz has been issued the NPI (National Provider Identifier) 1013031483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jennifer Blitz located?
The Jennifer Blitz is located at 1 Norma Ln, Kings Park, NY 117544520.
What is Jennifer Blitz's area of expertise and its corresponding taxonomy classification?
The Jennifer Blitz's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013031483 to Jennifer Blitz?
The Centers for Medicare & Medicaid Services originally issued the 1013031483 to Jennifer Blitz on 2007-03-19.
As of what date were the details related to Jennifer Blitz most recently updated or revised?
The information pertaining to Jennifer Blitz, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-25.