Individual
JENNIFER MICHELE WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
882 JACKSONVILLE RD. SUITE 205, SOUTHAMPTON PSYCHIATRIC ASSOCIATES, IVYLAND, PA 18974
(215) 355-2011
Mailing address
2001 PROVIDENCE AVE., KEYSTONE CENTER, CHESTER, PA 19013
(610) 876-9000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000708
PA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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