Kloss, Jacqueline Demichele
Kloss, Jacqueline Demichele is an individual health care provider with primary practice located at 3535 Market St Ste 670 , Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kloss, Jacqueline Demichele can be contacted via phone (215) 410-8167.Contact Information
Primary practice address
3535 Market St Ste 670
Philadelphia PA 19104
Phone: (215) 410-8167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PS015430 | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS015430 | Pennsylvania |
Profile Details
| NPI number | 1821446170 |
|---|---|
| LBN Legal business name | Kloss, Jacqueline Demichele |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2016 |
| Last updated | Jun 4th, 2018 - about 8 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.
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