Healthcare Provider Details

I. General information

NPI: 1689538852
Provider Name (Legal Business Name): ESTHER BELIZARIA JARDIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CUMMINGS CTR STE 3570
BEVERLY MA
01915-6535
US

IV. Provider business mailing address

2219 KIRKBRIDE DR # 2219
DANVERS MA
01923-1584
US

V. Phone/Fax

Practice location:
  • Phone: 978-539-9036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: