Individual
MS. JAMIE ALYSON HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 MARKET STREET, SUITE 200, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Mailing address
3440 MARKET STREET, SUITE 200, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD454128
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2009
Last updated
07/27/2015
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