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Individual

DR. JESSICA A MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4805 MONTGOMERY RD STE 210, CINCINNATI, OH 45212-2280
(513) 961-5558
Mailing address
4805 MONTGOMERY RD STE 150, CINCINNATI, OH 45212-2280
(513) 961-5558
(513) 961-1912

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
243398
KY
103G00000X
Clinical Neuropsychologist
Primary
7249
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0179578
OH
05
7100416660
KY
Enumeration date
01/02/2015
Last updated
07/25/2023
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