Individual
DR. JAMIE LEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
(800) 515-7147
(877) 515-7147
Mailing address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
(800) 515-7147
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017559
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740516293
—
PA
Enumeration date
01/15/2021
Last updated
01/15/2021
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