Jessica Tracy Deamer, MA, CAS
Individual provider Active NPI School Psychologist · Mathews, VA
NPI 1366940926 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1366940926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 0813000762 (VA)
- Practice address
- 387 Church Street
Mathews, VA 23109 - Phone
- (804) 725-3499
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0813000762 | VA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0813000762 | VA | Yes |
Addresses
Primary practice location
387 Church Street
Mathews, VA 23109
Mailing address
362 Garden Creek Rd
Mathews, VA 23109-2088
Other names
- Jessica Archinal
Other providers in Mathews, VA
- Christine Bott-Schmuker
- Kimberly Odel Burnett
- Shannon D Burris
- Christy B. Brown, Inc.
- Commonwealth of Virginia State Board of Health
- Kristine L Dutton
- Paul Thomas Edwards
- Karen Enneking
- Ingrid Elizabeth Fincher
- Barbara A Garner
All providers in Mathews, VA · School Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.