National Provider Identifier
Carrie Frances Jessup, MS ED
Carrie Frances Jessup, MS ED is listed in the NPPES registry with a primary specialty of Developmental Therapist in Amherst, NY and a listed phone number of (716) 819-2400.
Profile Overview
- NPI
- 1699315119
- Provider Type
- Individual
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- January 13, 2020
- Last Updated
- January 13, 2020
Practice Location
- 4242 Ridge Lea RD Ste 2
- Amherst, NY 14226-5122
Phone: (716) 819-2400
Mailing Address
- 321 Evans St Apt E
- Williamsville, NY 14221-5630
Specialties
- Developmental Therapist (222Q00000X)
Full Record
- NPI
- 1699315119
- Entity Type
- Individual
- Last Name
- Jessup
- First Name
- Carrie
- Middle Name
- Frances
- Credential
- MS ED
- Provider Other Last Name
- Arsenault
- Provider Other First Name
- Carrie
- Provider Other Middle Name
- Frances
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 321 Evans St Apt E
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5630
- Mailing Country
- US
- Mailing Phone
- (716) 566-0810
- Practice Street Address
- 4242 Ridge Lea RD Ste 2
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-5122
- Practice Country
- US
- Practice Phone
- (716) 819-2400
- Enumeration Date
- January 13, 2020
- Last Updated
- January 13, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental Therapist (222Q00000X)