Individual
MR. JAY LOUIS SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1601 WALNUT ST, STE. 1128, PHILA, PA 19102-2944
(215) 563-2882
(215) 563-2028
Mailing address
1420 LOCUST ST, APT. 27D, PHILA, PA 19102-4223
(215) 563-2882
(215) 563-2028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003584-L
PA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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