DR. JESSICA BARRETT KORDANSKY


Address: 399 Nw 2nd Ave, Suite 202, Boca Raton, FL 33432-3845
Phone: 5613181743

DR. JESSICA BARRETT KORDANSKY (NPI# 1104107937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104107937
Entity Type Individual
Full Name DR. JESSICA BARRETT KORDANSKY
Credential PHD
Practice Address 399 Nw 2nd Ave
Suite 202
Boca Raton
FL 33432-3845
Practice Telephone 5613181743
Practice Fax Number 5619539238
Mailing Telephone 5613181743
Mailing Fax Number 5619539238
Enumeration Date 2011-09-07
Last Update Date 2014-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY8369 FL Behavioral Health & Social Service Providers

Office Location

Street Address 399 NW 2ND AVE
SUITE 202
City BOCA RATON
State FL
Zip Code 33432-3845

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1447319215 Lynn Lampert Psychologist 7300 W Camino Real, St 108, Boca Raton, FL 33433-5512 2006-12-07

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Competitor

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City BOCA RATON
Zip Code 33432

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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