Doctor Name: | MS. JILL BAINBRIDGE |
NPI Number: | 1962623264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 2101 N Front St Bldg. 1 Suite 300 Harrisburg, PA - 171101086 |
Business Phone Number: | 7176352574 |
Business Fax Number: | 7176357167 |
Mailing Address: | 215 Geary Wolfe Rd, PINE GROVE |
State: | PA |
Postal Code: | 179638804 |
Phone Number: | 5706178564 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 12/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |