Individual
JEROME FRANCIS KNAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
133 HEATHER RD, SUITE 100, BALA CYNWYD, PA 19004-3009
(215) 601-1413
Mailing address
2227 WALLACE ST, PHILADELPHIA, PA 19130-3125
(215) 232-1417
(856) 384-1512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003306L
PA
Other
Enumeration date
05/02/2007
Last updated
07/09/2007
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