Dr. Jess Edelstein
School Psychologist
469 Buckland Rd Ste 104
South Windsor
, Connecticut 06074-3737
Dr. Jess Edelstein
School Psychologist
469 Buckland Rd Ste 104
South Windsor
, Connecticut 06074-3737
(860) 432-4540
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jess Edelstein
- 469 Buckland Rd Ste 104
- South Windsor, CT
- Zip : 06074-3737
- Fax : (860) 432-4540
- Phone : (860) 670-5207
Second Address
- Dr. Jess Edelstein
- 469 Buckland Rd Ste 104
- South Windsor, CT
- Zip : 06074-3737
- Fax : (860) 432-4540
- Phone : (860) 670-5207
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist |
National Provider Identifier
| NPI | 1013295005 |
|---|---|
| Provider Name | Dr. Jess Edelstein |
| First Address | South Windsor, CT 06074-3737 |
| Second Address | South Windsor, CT 06074-3737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2011 |
| Last Update Date | 20/06/2019 |
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.