Individual
DR. MADELEINE BABETTE JENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
650 BRANDYWINE CREEK ROAD, NEWLIN TOWNSHIP, COATESVILLE, PA 19320
(610) 999-3303
(610) 486-6859
Mailing address
PO BOX 586, UNIONVILLE, PA 19375-0586
(610) 999-3303
(610) 486-6859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005643-L
PA
103TC0700X
Clinical Psychologist
PS-005643-L
PA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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