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Individual

DR. EDWARD BRIAN JENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
127 W STREET RD, SUITE 302, KENNETT SQUARE, PA 19348-1698
(610) 444-6089
(610) 925-1581
Mailing address
127 W STREET RD, SUITE 302, KENNETT SQUARE, PA 19348-1698
(610) 444-6089
(610) 925-1581

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC002152
PA
103TC0700X
Clinical Psychologist
Primary
PS016418
PA

Other

Enumeration date
03/06/2007
Last updated
05/15/2008
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