Individual
DR. JEBEDIAH JAMES NORTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1010 DELAFIELD RD, VAPHS - HEINZ DIVISION 130P-A, ASPINWALL, PA 15215-1802
(412) 822-2387
Mailing address
1010 DELAFIELD RD, VAPHS - HEINZ DIVISION 130P-A, ASPINWALL, PA 15215-1802
(412) 822-2387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017155
PA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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