Domst, Jessica

Domst, Jessica is an individual health care provider with primary practice located at 393 North St , Springville NY 14141-9652. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Domst, Jessica can be contacted via phone (716) 592-9331.

Contact Information

Primary practice address
393 North St Springville NY 14141-9652
Phone: (716) 592-9331
Fax: (716) 592-4683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 146639021 New York
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1215327416
LBN Legal business name Domst, Jessica
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2015
Last updated Jan 27th, 2015 - about 10 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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