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NPI Code Detail

MEDICARE: DR. JESSICA LINDSAY ATKINS LSSP

MEDICARE:  DR. JESSICA LINDSAY ATKINS  LSSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist70025TX

General Provider Information

NPI Number : 1033922398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA LINDSAY ATKINS LSSP
Provider Business Mailing Address
First Line : 7528 SOMERVELL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-2498
Country : US
Telephone Number : 817-456-3479
Fax Number :
Provider Business Practice Location Address
First Line : 1200 CIRCLE DR STE 400B
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-8112
Country : US
Telephone Number : 817-569-4750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2025
Last Update Date : 01/30/2025

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Directions to “ DR. JESSICA LINDSAY ATKINS LSSP” Practice Location

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