Individual
RUTH JAMPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1111 STREET RD, SUITE 312, SOUTHAMPTON, PA 18966-4250
(215) 355-2011
(215) 396-1886
Mailing address
1111 STREET RD, SUITE 312, SOUTHAMPTON, PA 18966-4250
(215) 355-2011
(215) 396-1886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1661669
IBC PERSONAL CHOICE
—
Enumeration date
08/19/2006
Last updated
07/08/2007
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