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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA BASS BOSWORTH

Active Sole Proprietor

JESSICA BASS BOSWORTH is a School Psychologist healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1154835577 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · FAYETTEVILLE, NC

Registration Details

NPI Number
1154835577
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2017 (8.7458459655541 yrs)
Last Updated
Nov 21, 2017
Sole Proprietor
Yes

Practice Information

Address
3415 YOUNGSTOWN DR
FAYETTEVILLE, NC, 28303
Browse NC providers · Browse ZIP 28303
Phone
7034470454
Primary Specialty
School Psychologist
103TS0200X
Additional Specialty
School Psychologist
Additional Specialty
School Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.