NPI 1063947299
Jennifer Blossom, MS
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
Student in an Organized Health Care Education/Training Program
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.