Individual
DR. JEFFREY LAWRENCE EIBERSON
Active
Individual
DR. JEFFREY LAWRENCE EIBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
Update your record
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