Provider Demographics
NPI:1336696822
Name:DEER, JAMIE ELLEN (BSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELLEN
Last Name:DEER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DIGITAL DR UNIT 106
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-4586
Mailing Address - Country:US
Mailing Address - Phone:201-580-1138
Mailing Address - Fax:
Practice Address - Street 1:635 ROGERS ST. 9
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-455-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical