AUDRA BLICKENSTAFF
Psychologist - School
Active
Individual
NPI: 1477427573
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - School | 103TS0200X | Yes | - |
Frequently Asked Questions
NPI 1477427573 is the National Provider Identifier for AUDRA BLICKENSTAFF, a Psychologist - School provider located in San Jose, CA. This NPI was enumerated on October 1, 2025.
AUDRA BLICKENSTAFF practices at 1970 WILLOW ST, San Jose, CA 95125.
Quick Facts
- NPI
- 1477427573
- Type
- Individual
- Enumerated
- Oct 1, 2025
- Last Updated
- Oct 1, 2025
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