DR. JESSICA MAE DESALU (NPI# 1992337273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992337273 |
Entity Type | Individual |
Full Name | DR. JESSICA MAE DESALU |
Practice Address |
205 S Whiting St Ste 312 Alexandria VA 22304-3632 |
Mailing Address |
5280 Duke St Apt 210b210 Alexandria VA 22304-2938 |
Practice Telephone | 3475707801 |
Mailing Telephone | 3475707801 |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810006387 | VA | Behavioral Health & Social Service Providers |
Street Address |
205 S WHITING ST STE 312 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22304-3632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
Find all providers in zip 22304 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
1831722313 | Alexandria Therapy, LLC | Psychologist | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301-1361 | 2020-02-12 |
1982236709 | Pivotal Psych Consultants | Psychologist | 500 N Washington St Ste 205, Alexandria, VA 22314-2314 | 2020-02-10 |
1760948095 | Daniela Sosa-sarkar | Psychologist | 5500 Holmes Run Pkwy Ste C4, Alexandria, VA 22304-2860 | 2019-02-12 |
1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
1972070894 | Ansari and Associates, LLC | Psychologist | 901 N Washington St Ste 601, Alexandria, VA 22314-1535 | 2018-10-29 |
1679040851 | Kathryn Ziemer | Psychologist | 1202 Prince St, Alexandria, VA 22314-2936 | 2018-10-25 |
1699259812 | Travis Drake Flower | Psychologist | 3412 Tennessee Dr, Alexandria, VA 22303-1225 | 2018-09-24 |
1720572076 | Michele Klopner | Psychologist | 3602 Forest Dr, Alexandria, VA 22302-1091 | 2018-06-20 |
1154812105 | Del Ray Psych & Wellness, LLC | Psychologist | 1900 Mount Vernon Ave, Alexandria, VA 22301-1302 | 2018-05-25 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22304 |
Please comment or provide details below to improve the information on DR. JESSICA MAE DESALU.
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.