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NPI Code Detail

MEDICARE: DR. JESSICA SUZANNE SCHACHTER PSYD

MEDICARE:  DR. JESSICA SUZANNE SCHACHTER  PSYD
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
1103T00000XPsychologistPSY29398CA

General Provider Information

NPI Number : 1750611232
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA SUZANNE SCHACHTER PSYD
Provider Business Mailing Address
First Line : 385 IMPERIAL HWY
Second Line :
City : FULLERTON
State : CA
Zip : 92835
Country : US
Telephone Number : 714-681-9070
Fax Number :
Provider Business Practice Location Address
First Line : 4018 CITY TERRACE DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-1242
Country : US
Telephone Number : 323-268-3219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2010
Last Update Date : 10/04/2017

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Directions to “ DR. JESSICA SUZANNE SCHACHTER PSYD” Practice Location

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