National Provider Identifier Database

KELLY L BLAIR, PhD – NPI #1891711131
Clinical

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 breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

KELLY L BLAIR, PhD
708 W FOREST AVE
JACKSON, TN38301-3901
Phone: 731-425-4930
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Rehabilitation 103TR0400X

* Indicates primary specialty

NPI Profile & details for KELLY L BLAIR

NPI Number 1891711131
Credentials PhD
Entity Individual
Enumeration date 07/13/2006
Last updated 07/31/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 1706
Hospital affiliation n/a

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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