Dr. Jennifer Jamieson Bortle
Psychologist Clinical Psychologist
1218 Massachusetts Ave
Cambridge
, Massachusetts 02138-3835
Dr. Jennifer Jamieson Bortle
Psychologist Clinical Psychologist
1218 Massachusetts Ave
Cambridge
, Massachusetts 02138-3835
(857) 540-9882
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Jamieson Bortle
- 1218 Massachusetts Ave
- Cambridge, MA
- Zip : 02138-3835
- Phone : (857) 540-9882
Second Address
- Dr. Jennifer Jamieson Bortle
- 1218 Massachusetts Ave
- Cambridge, MA
- Zip : 02138-3835
- Phone : (857) 540-9882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 8676 | MA |
| N | 103T00000X | Psychologist | 8676 | MA |
| Y | 103G00000X | Clinical Psychologist | 8676 | MA |
| Y | 103TC0700X | Clinical Psychologist | 8676 | MA |
National Provider Identifier
| NPI | 1003941121 |
|---|---|
| Provider Name | Dr. Jennifer Jamieson Bortle |
| First Address | Cambridge, MA 02138-3835 |
| Second Address | Cambridge, MA 02138-3835 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 12/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.