Provider Demographics
NPI:1215374723
Name:PSIMAS, JESSICA LYNSEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYNSEY
Last Name:PSIMAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 N CLARK ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1893
Mailing Address - Country:US
Mailing Address - Phone:832-226-6108
Mailing Address - Fax:
Practice Address - Street 1:5103 N CLARK ST APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1893
Practice Address - Country:US
Practice Address - Phone:832-226-6108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist