Individual provider · Type 1 NPI

Jessica O. Kostelnik, PhD, LCP

Clinical Psychologist · Charlottesville, VA

NPI number 1578810875 Active

Practice location

205 E High St, JAO5J@VIRGINIA.EDU
Charlottesville, VA 22902-5516

Fax (434) 971-4525

Mailing address

205 East High Street, JAO5J@VIRGINIA.EDU
Charlottesville, VA 22902

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810004607 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1578810875

Jessica O. Kostelnik, PhD, LCP's National Provider Identifier is 1578810875, issued on Aug 7, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 7, 2012.