Individual
DR. JESSICA RAE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
3486
OR
103TF0200X
Forensic Psychologist
Primary
PY61170219
WA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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