Individual
JILL ALLISON KOSTENBADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 389-8870
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 389-8870
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 005392-L
PA
Other
Enumeration date
05/31/2013
Last updated
11/30/2016
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