Dr. Jason R Blizzard, PHD
Psychologist in Lebanon, New Hampshire
1245877802- Practice location
- 1 Medical Center Dr, Lebanon, NH 03756-0001
- Phone
- 603-650-5000
- Fax
- 603-640-1228
- Last updated
- December 9, 2025
Jason Randelle Blizzard is a Psychologist based in Lebanon, NH. Jason Randelle Blizzard practices in Lebanon, NH and has the professional credentials of PHD. The NPI Number for Jason Randelle Blizzard is 1245877802 and holds a License No. 1663 (NH). The current practice location address for Jason Randelle Blizzard is 1 Medical Center Dr, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-5000 and via fax at 603-640-1228.
Provider Profile Details
- NPI Number
- 1245877802
- Provider Name
- Jason Randelle Blizzard
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Medical Center Dr, Lebanon, NH 03756-0001
- Phone Number
- 603-650-5000
- Fax Number
- 603-640-1228
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 3, 2019
- Last Update Date
- December 9, 2025
- Certification Date
- December 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03756-0001
- Phone Number
- 603-650-5000
- Fax Number
- 603-640-1228
Provider Business Mailing Address Details
- Address
- 700 Mitchell Bridge RD Apt 114
Athens, GA 30606-6416 - City
- Athens
- State
- GA
- Zip
- 30606-6416
- Phone Number
- 912-531-4509
License Information
- License Number (1)
- 1663
- License State (1)
- NH
- Taxonomy (1)
- Psychologist · 103T00000X · Primary
- License Number (2)
- 004353
- License State (2)
- GA
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Lebanon, NH
View all Psychologists in Lebanon →Frequently Asked Questions
What is the NPI number of Dr. Jason R Blizzard, PHD?
The NPI number of Dr. Jason R Blizzard, PHD is 1245877802. It was assigned on December 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason R Blizzard, PHD?
Dr. Jason R Blizzard, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NH under license number 1663.
Where does Dr. Jason R Blizzard, PHD practice?
The practice location is 1 Medical Center Dr, Lebanon, NH 03756-0001. The office can be reached at 603-650-5000 (phone) or 603-640-1228 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245877802 directly on the NPPES registry website.