Individual provider · Type 1 NPI

Jason Randelle Blizzard, PhD

Psychologist · Lebanon, NH

NPI number 1245877802 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Fax (603) 640-1228

Mailing address

700 Mitchell Bridge Rd Apt 114
Athens, GA 30606-6416

Other practice locations

  • 1551 Jennings Mill Rd Unit 600A, Watkinsville, GA 30677-7264 · (912) 531-4509

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1663 (NH)
Counseling Psychologist 103TC1900X004353 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1245877802

Jason Randelle Blizzard, PhD's National Provider Identifier is 1245877802, issued on Dec 3, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lebanon, NH. The record was last updated on Dec 9, 2025.