Individual
DR. JANE ELLEN KASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2500 GRUBB ROAD, SUITE 210, WILMINGTON, DE 19810
(610) 566-2315
(610) 566-2315
Mailing address
227 YARMOUTH LANE, MEDIA, PA 19063-4330
(610) 566-2315
(610) 566-2315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B1-0000409
DE
103T00000X
Psychologist
PS005815L
PA
103TC0700X
Clinical Psychologist
B1-0000409
DE
103TC0700X
Clinical Psychologist
PS005815L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017135
—
DE
01
—
1000032529
DELAWARE PHYSICIANS CARE,
DE
01
—
KA652408
BLUESHIELD
PA
Enumeration date
03/21/2006
Last updated
06/26/2009
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