Individual
DR. JACQUELLYNE HENGST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
41 LEOPARD RD STE 304, PAOLI, PA 19301-1549
(610) 331-6493
Mailing address
539 OLD LANCASTER RD, HAVERFORD, PA 19041-1415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS020123
PA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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