National Provider Identifier
Jessica Domst, MA
Jessica Domst, MA is listed in the NPPES registry with a primary specialty of School Psychologist in Springville, NY and a listed phone number of (716) 592-9331.
Profile Overview
- NPI
- 1215327416
- Provider Type
- Individual
- Primary Specialty
- School Psychologist
- Enumeration Date
- January 27, 2015
- Last Updated
- January 27, 2015
Practice Location
- 393 North St
- Springville, NY 14141-9652
Phone: (716) 592-9331
Specialties
- School Psychologist (103TS0200X)
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1215327416
- Entity Type
- Individual
- Last Name
- Domst
- First Name
- Jessica
- Credential
- MA
- Mailing Street Address
- 393 North St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-9652
- Mailing Country
- US
- Mailing Phone
- (716) 592-9331
- Mailing Fax
- (716) 592-4683
- Practice Street Address
- 393 North St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9652
- Practice Country
- US
- Practice Phone
- (716) 592-9331
- Practice Fax
- (716) 592-4683
- Enumeration Date
- January 27, 2015
- Last Updated
- January 27, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Psychologist (103TS0200X), School Social Worker (1041S0200X)