Provider Demographics
NPI:1932458239
Name:MCALLISTER, JESSICA (MT-BC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TOWNRIDGE CT.
Mailing Address - Street 2:APT. G
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236
Mailing Address - Country:US
Mailing Address - Phone:540-421-0867
Mailing Address - Fax:
Practice Address - Street 1:6 TOWNRIDGE CT.
Practice Address - Street 2:APT. G
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:540-421-0867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist