Provider Demographics
NPI:1215373071
Name:NEU, JESSICA ADELE
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ADELE
Last Name:NEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HILL ST
Mailing Address - Street 2:APT. B
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5382
Mailing Address - Country:US
Mailing Address - Phone:973-477-2733
Mailing Address - Fax:
Practice Address - Street 1:21 HILL ST
Practice Address - Street 2:APARTMENT B
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5382
Practice Address - Country:US
Practice Address - Phone:973-477-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1084061103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst