Individual
JESSICA REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WALNUT ST UNIT 113, PEABODY, MA 01960-8603
(781) 572-8593
Mailing address
75 WALNUT ST UNIT 113, PEABODY, MA 01960-8603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1244-MH-ED
MA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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