Individual
JENNY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
(610) 431-8830
Mailing address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017793
PA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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