Active NPIIndividual providerSole proprietor

Ms. Jessica M Donnelly, MA

Psychologist in Randolph, Vermont

NPI Number1124314125
Practice location
2 Summer St, Suite 3, Randolph, VT 05060-1173
Fax
—
Last updated
May 3, 2017

Jessica M. Donnelly is a Psychologist based in Randolph, VT. Jessica M. Donnelly practices in Randolph, VT and has the professional credentials of MA. The NPI Number for Jessica M. Donnelly is 1124314125 and holds a License No. 047-0072459 (VT). The current practice location address for Jessica M. Donnelly is 2 Summer St, Suite 3, Randolph, VT 05060-1173 and can be reached out via phone at 802-735-2275.

Provider Profile Details

NPI Number
1124314125
Provider Name
Jessica M. Donnelly
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2 Summer St, Suite 3, Randolph, VT 05060-1173
Phone Number
802-735-2275
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2011
Last Update Date
May 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Summer St
Suite 3
Randolph, VT 05060-1173
State
Vermont
Zip
05060-1173
Phone Number
802-735-2275
Randolph, VT 05060Get directions →

Provider Business Mailing Address Details

Address
2 Summer Street
Randolph, VT 05060-7149
City
Randolph
State
VT
Zip
05060-7149
Phone Number
802-735-2275

License Information

License Number
047-0072459
License State
VT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jessica M Donnelly, MA?

The NPI number of Ms. Jessica M Donnelly, MA is 1124314125. It was assigned on June 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica M Donnelly, MA?

Ms. Jessica M Donnelly, MA is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 047-0072459.

Where does Ms. Jessica M Donnelly, MA practice?

The practice location is 2 Summer St, Suite 3, Randolph, VT 05060-1173. The office can be reached at 802-735-2275 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124314125 directly on the NPPES registry website.

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