Individual
DR. CHALINI JAYASEKERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
55 HIGHLAND AVE, SALEM, MA 01970-2185
(978) 825-6677
Mailing address
55 HIGHLAND AVE STE 201, SALEM, MA 01970-2100
(978) 825-6677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11128
MA
390200000X
Student in an Organized Health Care Education/Training Program
S34742724
MA
Other
Enumeration date
09/09/2014
Last updated
10/15/2019
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