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
Fax: (703) 368-8454
Website:

Health care specialties

SpecialtyCodeLicense #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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