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General NPI Number Information
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NPI Number | 1427733484
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Entity Type | Individual
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Provider Name | ALLISON JESSAR PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 545 BECKETT RD STE 207
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City | LOGAN TOWNSHIP
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State | NJ
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Zip | 08085-1512
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Country | US
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Telephone | 215-285-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 43 MOUNT VERNON AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-2321
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00749100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810009011
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY200001618
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License Number State | DC
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