Doctor Name: | MRS. JESSICA WEBSTER |
NPI Number: | 1295910693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | PC004174 |
Business Practice Address: | 600 Germantown Pike Suite D Lafayette Hill, PA - 194441800 |
Business Phone Number: | 6108254450 |
Business Fax Number: | 6109415532 |
Mailing Address: | 600 Germantown Pike, Suite D LAFAYETTE HILL |
State: | PA |
Postal Code: | 194441800 |
Phone Number: | 6108254450 |
Fax Number: | 6109415532 |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PC004174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |