Individual
DR. JESSICA DIASODSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
215 W UNION AVE, BOUND BROOK, NJ 08805-1334
(201) 252-7069
Mailing address
PO BOX 6546, EAST BRUNSWICK, NJ 08816-6546
(201) 252-7069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6850
NJ
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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