Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Marie Wallace

Individual provider Developmental Therapist · NPI 1083062624

Jessica Marie Wallace is a Developmental Therapist in Danvers, Massachusetts. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

6 Southside Rd
Danvers, MA 01923-1409
Phone: (978) 624-3725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1083062624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESMay 24, 2016

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