| Doctor Name: | NANCY JENSEN |
| NPI Number: | 1205852175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PS006786L |
| Business Practice Address: | 725 Skippack Pike Suite 335 Blue Bell, PA - 194221741 |
| Business Phone Number: | 2156411616 |
| Business Fax Number: | 4256998368 |
| Mailing Address: | 270 Ridings Way, AMBLER |
| State: | PA |
| Postal Code: | 190025246 |
| Phone Number: | 2156411616 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PS006786L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |