Individual
DR. JASON BRYANT TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
200 HIGHPOINT DR STE 215, CHALFONT, PA 18914-3925
(215) 491-1119
Mailing address
200 HIGHPOINT DR STE 215, CHALFONT, PA 18914-3925
(215) 491-1119
(215) 491-9119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS018620
PA
103TC0700X
Clinical Psychologist
PS018620
PA
Other
Enumeration date
09/14/2018
Last updated
03/14/2023
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