Anderson, Jessica
Anderson, Jessica is an sole proprietor health care provider with primary practice located at 1616 Walnut St 2108, Philadelphia PA 19103-5313. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Jessica can be contacted via phone (347) 749-0348.Contact Information
Primary practice address
1616 Walnut St 2108
Philadelphia PA 19103-5313
Phone: (347) 749-0348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 562042 | New Jersey |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1189167 | New York |
Profile Details
| NPI number | 1154689826 |
|---|---|
| LBN Legal business name | Anderson, Jessica |
| Credentials | PSY.D, NCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2012 |
| Last updated | May 1st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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