Individual
DR. JENNIFER SHANE HITELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14 SOUTH BRYN MAWR AVE, SUITE #205, BRYN MAWR, PA 19010
(610) 525-1056
(610) 525-3216
Mailing address
14 SOUTH BRYN MAWR AVE, SUITE #205, BRYN MAWR, PA 19010
(610) 525-1056
(610) 525-3216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS015799
PA
103TC0700X
Clinical Psychologist
PS015799
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS015799
PA
Other
Enumeration date
06/04/2007
Last updated
09/11/2025
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