Macdonald, Jessica A
Macdonald, Jessica A is an individual health care provider with primary practice located at 4805 Montgomery Rd Ste 210 , Cincinnati OH 45212-2280. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Macdonald, Jessica A can be contacted via phone (513) 961-5558.Contact Information
Primary practice address
4805 Montgomery Rd Ste 210
Cincinnati OH 45212-2280
Phone: (513) 961-5558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 243398 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 7249 | Ohio |
Profile Details
| NPI number | 1780072561 |
|---|---|
| LBN Legal business name | Macdonald, Jessica A |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2015 |
| Last updated | Jul 25th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780072561 | NPPES |
| Kentucky | MEDICAID | 7100416660 | |
| Kentucky | MEDICAID | 0179578 |
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