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Contact Information

JENNIFER BLOSSOM, MS
6 E CHESTNUT ST
AUGUSTA, ME04330-5758
 Phone: 207-623-2977
 Fax: 207-623-9374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER BLOSSOM · (Female)

NPI # 1063947299
Status Active
Credentials MS
Entity Individual
Enumeration date 04/25/2017
Last updated 10/28/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • ME License # PS2514
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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