Jessica Lynn Clark, MA/CAGS
Psychologist, School in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1184335820
StatusActive
Last updated in NPPESDec 18, 2022
Details
- NPI
- 1184335820
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Lynn Clark
- Credential
- MA/CAGS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 18, 2022
- Last updated
- Dec 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | SS1724 | FL | Yes |
Other names
- Jessica Lynn Vittorino (Former Name)
Practice location
1190 Sw Jericho AvePort St Lucie, FL 34953-6889
Phone 772-259-0474
Mailing address
1190 Sw Jericho AvePort St Lucie, FL 34953-6889
Phone 772-259-0474
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist, School providers in Port St Lucie, FL
- Sonia Alarcon, BANPI 1801937511
- Sharon M. Becker, LSP, NCSPNPI 1053151357
- Sarah Berg, BANPI 1285783233
- Dr. Dawna Lee Bone, Psy.D.NPI 1811040686
- Diana Isabel D'Anglada, MANPI 1851614390
- Dr. Stephen P. Davis, Ph.D.NPI 1134147283
- Development Learning Center Of St Lucie County Florida INCNPI 1710253943
- Dna Comprehensive Therapy Services, LLCNPI 1982563524
- Dr Sheldon H Rifkin PANPI 1740450709
- Martina A Ferguson, BANPI 1689702946
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.