Dr. Valdea Delano Jennings
Health Service Clinical Child & Adolescent Psychologist
333 W Mount Airy Ave
Phila
, Pennsylvania 19119-2941
Dr. Valdea Delano Jennings
Health Service Clinical Child & Adolescent Psychologist
333 W Mount Airy Ave
Phila
, Pennsylvania 19119-2941
(215) 248-5228
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Valdea Delano Jennings
- 333 W Mount Airy Ave
- Phila, PA
- Zip : 19119-2941
- Phone : (215) 248-5228
Second Address
- Dr. Valdea Delano Jennings
- 333 W Mount Airy Ave
- Phila, PA
- Zip : 19119-2941
- Phone : (215) 248-5228
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS000363L | PA |
| N | 103TH0100X | Health Service | PS000363L | PA |
National Provider Identifier
| NPI | 1487707006 |
|---|---|
| Provider Name | Dr. Valdea Delano Jennings |
| First Address | Phila, PA 19119-2941 |
| Second Address | Phila, PA 19119-2941 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0062849000 | (02) | PA |
| 7200026 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.