Individual
DR. JESSE MATTHEW MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
2150 HARRISBURG PIKE FL 2, LANCASTER, PA 17601-2644
(717) 544-3170
Mailing address
519 GREENHEDGE DR, LANCASTER, PA 17603-7909
(717) 333-2419
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS018988
PA
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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