Provider Demographics
NPI:1831060375
Name:WISCHMEYER, JESSICA (EDD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:WISCHMEYER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 PUTNAM PKWY
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-8676
Mailing Address - Country:US
Mailing Address - Phone:419-523-5951
Mailing Address - Fax:
Practice Address - Street 1:124 PUTNAM PKWY
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-8676
Practice Address - Country:US
Practice Address - Phone:419-523-5951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLSP.03129103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool