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Individual

JESSICA R UMBRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1850 WILLIAM PENN WAY, SUITE 202, LANCASTER, PA 17601-6737
(717) 391-6808
(717) 391-0709
Mailing address
1850 WILLIAM PENN WAY, SUITE 202, LANCASTER, PA 17601-6737
(717) 391-6808
(717) 391-0709

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016254
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS016254
PA

Other

Enumeration date
07/30/2007
Last updated
03/11/2010
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