Individual
DR. JENNIFER MINKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
135 S 19TH ST, SUITE 250, PHILADELPHIA, PA 19103-4912
(610) 256-0747
Mailing address
611 N 20TH ST, PHILADELPHIA, PA 19130-3211
(610) 256-0747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016532
PA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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