Individual
JESSICA G KEROACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
121 N CEDAR CREST BLVD STE A, ALLENTOWN, PA 18104-4664
(484) 896-9600
Mailing address
121 N CEDAR CREST BLVD STE A, ALLENTOWN, PA 18104-4664
(484) 896-9600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS018293
STATE LICENSE
PA
Enumeration date
05/26/2017
Last updated
12/05/2023
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