| Doctor Name: | MRS. JESSICA RENEE BISIAK |
| NPI Number: | 1336444512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CLINICIAN |
| License Number: | |
| Business Practice Address: | 242 Dexter Street Pawtucket, RI - 028608218 |
| Business Phone Number: | 4012156518 |
| Business Fax Number: | 4017248899 |
| Mailing Address: | 9 Industrial Rd, Ste 5 MILFORD |
| State: | MA |
| Postal Code: | 017573736 |
| Phone Number: | 5084731480 |
| Fax Number: | 5084731210 |
| NPI Enumeration Date: | 01/19/2011 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |