Individual
JALISSA HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
3101 16TH ST NW, WASHINGTON, DC 20010-3302
(202) 939-7700
Mailing address
3101 16TH ST NW, WASHINGTON, DC 20010-3302
(202) 939-7700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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