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Individual

DR. DEVONNA KAE JONSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1104 FERNWOOD AVE STE 201, CAMP HILL, PA 17011-6902
(717) 877-9090
Mailing address
PO BOX 655, CARLISLE, PA 17013-0655
(717) 877-9090
(717) 240-2844

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS009221L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000789050
HIGHMARK BLUE SHIELD
PA
01
50053742
CAPITAL BLUECROSS - GROUP
PA
01
50053743
CAPITAL BLUECROSS - INDIV
PA
Enumeration date
04/19/2007
Last updated
01/16/2021
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