Blacklock, Jennifer Ann

Blacklock, Jennifer Ann is an sole proprietor health care provider with primary practice located at 2700 Nw 42Nd St # Na , Boca Raton FL 33434-2575. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Blacklock, Jennifer Ann can be contacted via phone (561) 414-8978.

Contact Information

Primary practice address
2700 Nw 42Nd St # Na Boca Raton FL 33434-2575
Phone: (561) 414-8978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS1517 Florida

Profile Details

NPI number 1538941547
LBN Legal business name Blacklock, Jennifer Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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