Individual
MRS. JESSICA MITCHELL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LIC
Contact information
Practice address
3235 N 3RD ST, HARRISBURG, PA 17110-1308
(717) 234-3839
(717) 234-6247
Mailing address
42 SUMMER LN, MECHANICSBURG, PA 17050-4147
(717) 486-3929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006260L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000764545
HIGHMARK BLUE SHIELD
PA
01
—
02105001
CAPITAL BLUE CROSS
PA
Enumeration date
07/28/2006
Last updated
01/30/2014
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