Mccarthy, Jessica Lynn

Mccarthy, Jessica Lynn is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Mccarthy, Jessica Lynn can be contacted via phone (937) 641-3401.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Phone: (937) 641-3401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.08310 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1861909715
LBN Legal business name Mccarthy, Jessica Lynn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2018
Last updated Oct 13th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1861909715 NPPES
Ohio MEDICAID 0005307

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