Hailey, Jennifer Ann

Hailey, Jennifer Ann is an individual health care provider with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hailey, Jennifer Ann can be contacted via phone (717) 273-8871.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 273-8871
Fax: (717) 270-2452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS018051 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018051 Pennsylvania

Profile Details

NPI number 1861848012
LBN Legal business name Hailey, Jennifer Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated Feb 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861848012 NPPES
Pennsylvania Other PS018051 STATE LICENSE
Pennsylvania MEDICAID 103362605 STATE LICENSE

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