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:
Health care specialties
| Specialty | Code | License # | 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 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861848012 | NPPES |
| Pennsylvania | Other | PS018051 | STATE LICENSE |
| Pennsylvania | MEDICAID | 103362605 | STATE LICENSE |
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