Jessica Datta, LSW

NPI 1003113150 · on the registry since 2011 · sole proprietor

Practice

Address: 975 Commerce Dr
Perrysburg, OH 43551
Phone: (419) 874-0274
Fax: (419) 874-9960
Organisation at this address: Fort Meigs Psychological Service
Fort Meigs Wellness & Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio