Individual provider · Type 1 NPI

Jennifer Heretick Massa, PhD

Psychologist · St. Petersburg, FL

NPI number 1790120186 Active

Practice location

401 Pasadena Ave S
St. Petersburg, FL 33707-2101

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	PY8899 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1790120186

Jennifer Heretick Massa, PhD's National Provider Identifier is 1790120186, issued on Apr 30, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 18, 2013.