Individual
DR. JENNIFER LYNN COLE-PUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1518 WALNUT ST STE 307, PHILADELPHIA, PA 19102-3402
(215) 625-9655
Mailing address
208 N 5TH AVE, BEECH GROVE, IN 46107-1330
(518) 522-5528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019452
PA
103TF0200X
Forensic Psychologist
PS019452
PA
Other
Enumeration date
11/06/2021
Last updated
11/09/2021
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