| Doctor Name: | DR. JANE MARIE HART |
| NPI Number: | 1073759072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D., L.P.C. |
| License Number: | PC002122 |
| Business Practice Address: | 505 Monument Ave Malvern, PA - 193552634 |
| Business Phone Number: | 6107259116 |
| Business Fax Number: | 6107259117 |
| Mailing Address: | 505 Monument Ave, MALVERN |
| State: | PA |
| Postal Code: | 193552634 |
| Phone Number: | 6107259116 |
| Fax Number: | 6107259117 |
| NPI Enumeration Date: | 12/21/2008 |
| NPI Last Update Date: | 12/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |