Dery, Jessica L
Dery, Jessica L is an sole proprietor health care provider with primary practice located at 126 Phoenix Ave 3Rd Floor, Lowell MA 01852-4931. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Dery, Jessica L can be contacted via phone (978) 513-2387.Contact Information
Primary practice address
126 Phoenix Ave 3Rd Floor
Lowell MA 01852-4931
Phone: (978) 513-2387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1093003519 |
|---|---|
| LBN Legal business name | Dery, Jessica L |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2011 |
| Last updated | Feb 28th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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