Whalio Doctors

NPI 1063947299

Jennifer Blossom, MS

Practitioner Clinical Child & Adolescent Psychologist Augusta, ME

Practice location

Address
6 E Chestnut St, Augusta, ME 04330-5758
Phone
(207) 623-2977
Fax
(207) 623-9374

Registered specialties (2)

Clinical Child & Adolescent Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence PS2514 (ME)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1063947299
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2017
Record last updated
28 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.