Malatesta, Jessa
Malatesta, Jessa is an sole proprietor health care provider with primary practice located at 26 Chestnut St Ste 2E , Andover MA 01810-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Malatesta, Jessa can be contacted via phone (978) 749-2700.Contact Information
Primary practice address
26 Chestnut St Ste 2E
Andover MA 01810-3600
Phone: (978) 749-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY5000240 | Massachusetts |
Profile Details
| NPI number | 1417402868 |
|---|---|
| LBN Legal business name | Malatesta, Jessa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2016 |
| Last updated | Apr 2nd, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417402868 | NPPES |
| Pennsylvania | MEDICAID | 1000008360046 |
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