Cardwell, Jessica Lynn
Cardwell, Jessica Lynn is an sole proprietor health care provider with primary practice located at 8140 Ashton Ave Suite 200, Manassas VA 20109-5698. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cardwell, Jessica Lynn can be contacted via phone (307) 763-2415.Contact Information
Primary practice address
8140 Ashton Ave Suite 200
Manassas VA 20109-5698
Phone: (307) 763-2415
Fax: (703) 368-8454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 471 | Wyoming |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810004230 | Virginia |
Profile Details
NPI number | 1174778740 |
---|---|
LBN Legal business name | Cardwell, Jessica Lynn |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 24th, 2008 |
Last updated | Mar 29th, 2010 - about 15 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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