Individual
MS. LYNN CALVIN JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
425 STEWART AVE, JENKINTOWN, PA 19046-2232
(215) 884-3544
(215) 884-3545
Mailing address
425 STEWART AVE, JENKINTOWN, PA 19046-2232
(215) 884-3544
(215) 884-3545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-006266-L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
PS-006266-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JA763904
BLUE SHIELD PROVIDER #
PA
01
—
PS-006266-L
LICENSE TO PRACTICE PSYCH
PA
Enumeration date
01/23/2006
Last updated
09/11/2025
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