Individual
DR. JENNIFER ANN HAILEY
Active
Individual
DR. JENNIFER ANN HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS018051
PA
103TC0700X
Clinical Psychologist
Primary
PS018051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103362605
—
PA
01
—
PS018051
STATE LICENSE
PA
Enumeration date
05/06/2016
Last updated
11/27/2024
Update your record
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