DR. DORIS JEANETTE


Address: 503 S 21st St, Philadelphia, PA 19146-1325
Phone: 2157326197

DR. DORIS JEANETTE (NPI# 1265617385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265617385
Entity Type Individual
Full Name DR. DORIS JEANETTE
Practice Address 503 S 21st St
Philadelphia
PA 19146-1325
Practice Telephone 2157326197
Mailing Telephone 2157326197
Enumeration Date 2008-01-08
Last Update Date 2008-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS-002579-L PA Behavioral Health & Social Service Providers

Office Location

Street Address 503 S 21ST ST
City PHILADELPHIA
State PA
Zip Code 19146-1325

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1598289456 Allison Ortolano Speech-Language Pathologist 1933 Montrose St., Philadelphia, PA 19146 2017-08-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1336678788 Joshua Ryan Fidler Occupational Therapist 2223 Wharton Street, Philadelphia, PA 19146 2017-06-08
1912357930 Mei Lan Natalie Lau Pharmacist 3000-02 Reed Street, Philadelphia, PA 19146 2016-06-21
1417354887 Brandy Mitchell Specialist 1608 Webster Street, Philadelphia, PA 19146 2014-12-01
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447851092 Erica Marla Schulte Psychologist 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 2020-11-02
1376159780 Kristi Corcoran Psychologist 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 2020-09-21
1033723317 Casey Joan Zampella Psychologist 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 2020-09-03
1265053755 Shirley Brown Psychologist 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 2020-05-06
1518507912 Tamara Christine Hill Psychologist 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 2020-01-14
1023658168 Susan Schack Kelly Psychologist 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 2020-01-07
1265070379 Jeannine Cicco Barker Psychologist 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 2019-12-19
1003453952 Bridget Smith Psychologist Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 2019-12-10
1235790007 Stephanie Manasse Psychologist 3201 Chestnut St, Philadelphia, PA 19104-3370 2019-06-24
1003376690 Margaux Desjardins Psychologist 2200 Saint James Pl, Philadelphia, PA 19103-5502 2019-03-21
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Competitor

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City PHILADELPHIA
Zip Code 19146

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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