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Organization

THOMAS JEFFERSON UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA M. SHANE PSY.D. (EXECUTIVE DIRECTOR)
(215) 890-6268
Entity
Organization

Contact information

Practice address
1021 S 21ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-2634
(215) 790-9942
(215) 503-2850
Mailing address
833 CHESTNUT ST, PHILADELPHIA, PA 19107-4414
(215) 955-7910
(215) 503-2850

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
820114
PA

Other

Enumeration date
02/15/2007
Last updated
01/07/2026
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