Individual
DR. JENNIFER L BELLISSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6 BELMONT DR, CHELMSFORD, MA 01824-4802
(978) 551-3448
Mailing address
6 BELMONT DR, CHELMSFORD, MA 01824-4802
(978) 551-3448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11668
MA LICENCE
MA
Enumeration date
09/09/2018
Last updated
01/11/2023
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