DR. JESSICA RAE HART PHD
NPI 1265294995
Psychologist - Forensic in Tacoma, WA
- Individual
- Female
- Psychologist
- Forensic
About JESSICA HART
This page provides the complete NPI Profile along with additional information for Jessica Hart, a provider established in Tacoma, Washington with a medical specialization in Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1265294995 assigned on January 2024. The practitioner's primary taxonomy code is 103TF0200X with license number PY61170219 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1265294995 Verify this NPI
- Provider Name
- DR. JESSICA RAE HART PHD
- Other Name
- JESSICA RAE COOK
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1949 S STATE ST TACOMA, WA 98405
- Location Phone
- (253) 328-3507
- Location Fax
- (253) 761-7577
- Mailing Address
- 4349 NETTLE DR SE PORT ORCHARD, WA 98366
- Mailing Phone
- (940) 249-6935
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-29-2024
- Last Update Date
- 01-29-2024
- Code Navigator
Location Map
Secondary Locations
- 2600 Center St NE
Salem, OR 97301
(940) 249-6935
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Forensic
- Taxonomy Code
- 103TF0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY61170219
- License State
- WA
- Taxonomy Description
- A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | 3486 (OR) |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
TACOMA, WA 98405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265294995, enumerated as an "individual" on January 29, 2024.
The provider is located at 1949 S STATE ST TACOMA, WA 98405 and the phone number is (253) 328-3507.
Psychologist with taxonomy code 103TF0200X and a focus in Forensic.
