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General NPI Number Information
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NPI Number | 1033062104
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Entity Type | Individual
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Provider Name | JESSICA TERRIZZI PHD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 239 MADISON AVE
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City | WYCKOFF
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State | NJ
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Zip | 07481-1948
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Country | US
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Telephone | 201-669-1369
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Fax |
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Provider Business Mailing Address
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Address Line | 40 POWDERHORN DR
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City | KINNELON
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State | NJ
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Zip | 07405-2933
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Country | US
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Telephone | 201-669-1369
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00790300
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License Number State | NJ
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