Individual provider · Type 1 NPI

Kelly Lane Blair, PhD

Clinical Psychologist · Jackson, TN

NPI number 1891711131 Active

Practice location

708 W Forest Ave
Jackson, TN 38301-3901

Call (731) 425-4930 Map

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1706 (TN)
Rehabilitation Psychologist 103TR0400X1706 (TN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1891711131

Kelly Lane Blair, PhD's National Provider Identifier is 1891711131, issued on Jul 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jackson, TN. The record was last updated on Jul 31, 2009.