Provider Demographics
NPI:1871693929
Name:REZENDES, JAMIE A (MED)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:A
Last Name:REZENDES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:385 COURT ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7304
Mailing Address - Country:US
Mailing Address - Phone:508-830-3444
Mailing Address - Fax:508-746-3944
Practice Address - Street 1:385 COURT ST
Practice Address - Street 2:SUITE #102
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7304
Practice Address - Country:US
Practice Address - Phone:508-830-3444
Practice Address - Fax:508-746-3944
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-10-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health