| Doctor Name: | JESSICA QUAIL |
| NPI Number: | 1568873826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | SW130544 |
| Business Practice Address: | 614 Belle Vista Dr Enola, PA - 170251318 |
| Business Phone Number: | 7175128769 |
| Business Fax Number: | |
| Mailing Address: | 445 Brook Cir, MECHANICSBURG |
| State: | PA |
| Postal Code: | 170504617 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2014 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW130544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |