Provider Demographics
NPI:1497589618
Name:MORSCH, JESSICA CECIBEL
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:CECIBEL
Last Name:MORSCH
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 1:512 9TH ST APT 1L
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2953
Mailing Address - Country:US
Mailing Address - Phone:347-522-6345
Mailing Address - Fax:
Practice Address - Street 1:512 9TH ST APT 1L
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2953
Practice Address - Country:US
Practice Address - Phone:347-522-6345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01466532103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool