Jennifer King Blackledge, PHD - Psychologist in Roanoke, TX

Jennifer King Blackledge, PHD is a Psychologist based in Roanoke, Texas. Jennifer King Blackledge is licensed to practice in Texas (license number 33692) and her current practice location is 209 Travis St, Ste 105, Roanoke, Texas. She can be reached at her office (for appointments etc.) via phone at (817) 988-9121.

NPI number for Jennifer King Blackledge is 1326285743 and her current mailing address is 209 Travis St, Ste 105, Roanoke, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326285743.

Contact Information

Jennifer King Blackledge, PHD
209 Travis St, Ste 105,
Roanoke, TX 76262-8661
(817) 988-9121
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer King Blackledge
GenderFemale
SpecialityPsychologist
Location209 Travis St, Roanoke, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326285743
  • Provider Enumeration Date: 01/08/2009
  • Last Update Date: 03/07/2014

Medical Identifiers

Medical identifiers for Jennifer King Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326285743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 33692 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer King Blackledge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer King Blackledge, PHD
209 Travis St, Ste 105,
Roanoke, TX 76262-8661

Ph: (817) 988-9121
Jennifer King Blackledge, PHD
209 Travis St, Ste 105,
Roanoke, TX 76262-8661

Ph: (817) 988-9121

Reviews and Comments


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