| Doctor Name: | JESSICA BETH LONDA |
| NPI Number: | 1023232964 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 915 |
| Business Practice Address: | Route 113 Thetford, VT - 050740123 |
| Business Phone Number: | 8027852434 |
| Business Fax Number: | |
| Mailing Address: | Po Box 123, THETFORD |
| State: | VT |
| Postal Code: | 050740123 |
| Phone Number: | 8027852434 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 02/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 915 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |