Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS019281 | PA |
Y | 103T00000X | Psychologist | PS019281 | PA |
NPI | 1003373960 |
---|---|
Provider Name | Jessica Harpel |
First Address | Philadelphia, PA 19104-5262 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2019 |
Last Update Date | 08/09/2021 |