Provider Demographics
NPI:1720640691
Name:RAMSEY, JESSICA PATRICIA
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:PATRICIA
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25C COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2264
Mailing Address - Country:US
Mailing Address - Phone:774-823-5229
Mailing Address - Fax:
Practice Address - Street 1:25C COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2264
Practice Address - Country:US
Practice Address - Phone:774-823-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician