Doctor Name: | JENNIFER B SOLVINO |
NPI Number: | 1114222692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., N.C.C., L.P.C. |
License Number: | PC005665 |
Business Practice Address: | 1027 Christina Dr Leesport, PA - 195338800 |
Business Phone Number: | 4843326236 |
Business Fax Number: | |
Mailing Address: | 1027 Christina Dr, LEESPORT |
State: | PA |
Postal Code: | 195338800 |
Phone Number: | 4843326236 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |