IndividualActive
Jennifer Blossom, MS
NPI 1063947299 · Clinical Child & Adolescent Psychologist · Augusta, ME
Provider details
- NPI number
- 1063947299
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- License
- PS2514 (ME)
Practice location
6 E Chestnut St
Augusta, ME 04330-5758
Phone: (207) 623-2977
Fax: (207) 623-9374
Mailing address
6 E Chestnut St
Augusta, ME 04330-5758
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.