Individual
DR. JEFFREY LAWRENCE EIBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1326 SPRUCE ST, SUITE #1905, PHILADELPHIA, PA 19107-5826
(215) 546-1767
Mailing address
1326 SPRUCE ST, SUITE #1905, PHILADELPHIA, PA 19107-5826
(215) 546-1767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA LIC. #PS002959L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063120000
BC PERSONAL CHOICE
PA
01
—
246945000
MAGELLAN HEALTH CARE
PA
01
—
4365980
AETNA HEALTH CARE
PA
01
—
438240
HIGHMARK BLUE SHEILD
PA
Enumeration date
01/21/2006
Last updated
07/08/2007
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