Provider Demographics
NPI:1326555194
Name:BLECHMAN, JENA (SCHOOL PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:JENA
Middle Name:
Last Name:BLECHMAN
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 POUND RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-1632
Mailing Address - Country:US
Mailing Address - Phone:914-764-8133
Mailing Address - Fax:914-864-3495
Practice Address - Street 1:7 POUND RIDGE RD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-1632
Practice Address - Country:US
Practice Address - Phone:914-764-8133
Practice Address - Fax:914-864-3495
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110218103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool