Individual
JESSICA LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2501 OREGON PIKE, LANCASTER, PA 17601-4890
(717) 735-1954
(717) 569-3045
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103613106
—
PA
01
—
14440077
CAQH
—
01
—
PS018742
STATE LICENSE
PA
Enumeration date
11/15/2013
Last updated
05/14/2024
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