Provider Demographics
NPI:1902945918
Name:HUNTER, JESSICA ORENSTEIN (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ORENSTEIN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:MICHELLE
Other - Last Name:ORENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:3959 PENDER DRIVE
Mailing Address - Street 2:#320
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-352-3822
Mailing Address - Fax:703-385-8353
Practice Address - Street 1:3959 PENDER DRIVE
Practice Address - Street 2:#320
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-352-3822
Practice Address - Fax:703-385-8353
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20405103TC0700X
VA0810003946103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical