Ressa, Jamie L

Ressa, Jamie L is an individual health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ressa, Jamie L can be contacted via phone (623) 842-8148.

Contact Information

Primary practice address
7301 N 58Th Ave Glendale AZ 85301-1893
Phone: (623) 842-8148
Fax: (623) 435-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1942342266
LBN Legal business name Ressa, Jamie L
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 26th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942342266 NPPES
Arizona MEDICAID 733156

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