| Doctor Name: | MISS JESSICA ERIN EBRAHIMZADEH |
| NPI Number: | 1063837276 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | PGC000002 |
| Business Practice Address: | 45 2nd Street Pike Southampton, PA - 189663806 |
| Business Phone Number: | 2154947331 |
| Business Fax Number: | |
| Mailing Address: | 445 Hillside Ave, Apt B JENKINTOWN |
| State: | PA |
| Postal Code: | 190462138 |
| Phone Number: | 8605083906 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2014 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 170300000X |
| License Number: | PGC000002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Genetic Counselor, MS |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |