Individual
JESSIKA SCOGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 575-5268
Mailing address
17 VILLAGE VIEW RD, WESTFORD, MA 01886-2359
(310) 994-1949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
03/06/2023
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