Jessica Detor LMSW

  • NPI 1164989505
According to our database, the NPI number for Jessica Detor LMSW is 1164989505 and activated since 5 years ago. Jessica Detor LMSW is an individual provider who specializes in Clinical, and the primary practice location is 4900 Broad Rd, Syracuse, NY 13215. You can also contact Jessica Detor LMSW via telephone number is (315) 949-1031. Provider NPI information was last updated on 02/21/2019.

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Overview of Jessica Detor LMSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/21/2019
  • Last updated: 02/21/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 068827
  • License State: NY

Provider Mailing Address

  • Address: 4900 Broad Rd
    Pob North 3n
    Syracuse, NY 13215
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4900 Broad Rd
    Physician Office Building North 3n
    Syracuse, NY 13215
  • Phone: 315-949-1031
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 068827
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jessica Detor LMSW?
  • A: The npi number for Jessica Detor LMSW is 1164989505.
  • Q: What are Jessica Detor LMSW's specialties?
  • A: Jessica Detor LMSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jessica Detor LMSW?
  • A: The medical license number for Jessica Detor LMSW is 068827 and issued in NY in USA.
  • Q: Where is Jessica Detor LMSW practice location?
  • A: Jessica Detor LMSW is practicing at 4900 Broad Rd, Syracuse, NY 13215.
  • Q: How to contact Jessica Detor LMSW?
  • A: You can contact Jessica Detor LMSW via 315-949-1031.