| Jessica Webster Llc | |
|
4003 1st Ave Ste A Lafayette Hill PA 19444-1401 | |
| (267) 973-7529 | |
| Not Available |
| Full Name | Jessica Webster Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4003 1st Ave Ste A, Lafayette Hill, Pennsylvania |
| Authorized Official Name and Position | Jessica L Webster (SOLE PROPRIETOR) |
| Authorized Official Contact | 2679737529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Webster Llc 4003 1st Ave Ste A Lafayette Hill PA 19444-1401 Ph: (267) 973-7529 | Jessica Webster Llc 4003 1st Ave Ste A Lafayette Hill PA 19444-1401 Ph: (267) 973-7529 |
| NPI Number | 1124558358 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124558358 | NPI | - | NPPES |
| 1295910693 | Other | PA | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC004174 (Pennsylvania) | Primary |
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