JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC

SANTA ROSA, CA
NPI1639543390
Entity TypeOrganization
Authorized ContactJENNIFER BLUM
Owner
707-331-4769
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  27164)
Enumeration Date2015-11-18
Last Update Date2015-11-18
Business Address
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-331-4769
Mailing Address
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
484 CORNISH LN
ANGWIN, CA 94508-9736
Phone number: 707-331-4769
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