Individual
DR. JEFFREY H. KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
108 TOWANDA AVE, ELKINS PARK, PA 19027-2932
(215) 635-3011
(215) 635-3011
Mailing address
108 TOWANDA AVE, MELROSE PARK, PA 19027-2932
(215) 635-3011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005526L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455808000
MAGELLAN MIS NUMBER
PA
05
—
7035296
—
PA
Enumeration date
12/29/2006
Last updated
12/24/2020
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