DR. JENNA L JEBITSCH


Address: 264 E Broad St, Bethlehem, PA 18018-6278
Phone: 6108669311

DR. JENNA L JEBITSCH (NPI# 1528358819) 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) 1528358819
Entity Type Individual
Full Name DR. JENNA L JEBITSCH
Credential PSY.D.
Practice Address 264 E Broad St
Bethlehem
PA 18018-6278
Mailing Address 701 Harrison St Apt 418
Allentown
PA 18103-3171
Practice Telephone 6108669311
Practice Fax Number 6108822072
Mailing Telephone 6104178198
Enumeration Date 2011-04-08
Last Update Date 2020-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
PC003794 PA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PS017686 PA Behavioral Health & Social Service Providers

Office Location

Street Address 264 E BROAD ST
City BETHLEHEM
State PA
Zip Code 18018-6278

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518954742 Thomas D Sugalski Psychologist 264 E Broad St, Bethlehem, PA 18018-6224 2005-10-03
1336630201 Christine J Lynch Counselor 264 E Broad St, Bethlehem, PA 18018-6278 2018-05-25
1720516305 Jessica G Keroack Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2017-05-26
1316491061 Bethany Detwiler Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2016-08-11
1528425097 Abby Sheneman Social Worker 264 E Broad St, Bethlehem, PA 18018-6278 2016-01-28
1982954723 Julie L Iwanicki Marriage & Family Therapist 264 E Broad St, Bethlehem, PA 18018-6278 2012-09-19
1548535057 Jennifer Lee Brisbane Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2012-03-16
1558689174 Marifel Estrada-currie Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2010-05-06
1114947975 Luba Rafalson Psychologist 264 E Broad St, Bethlehem, PA 18018-6224 2006-07-21
1346201266 Deborah Ferraro Social Worker 264 E Broad St, Bethlehem, PA 18018-6224 2006-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093373292 Jade Madison Hennessy Specialist/Technologist Moravian College, 1200 Main Street, Bethlehem, PA 18018 2019-06-03
1780106179 Courtney Jane Kruscavage Specialist/Technologist 641 Dellwood Street, Bethlehem, PA 18018 2017-07-07
1205357936 Balanced Body Therapeutic Massage, LLC Massage Therapist 227 W Broad St Ste 102, Bethlehem, PA 18018 2017-07-03
1033567599 Jessamine Martin Counselor 1 East Broad Street, Suite 510, Bethlehem, PA 18018 2016-05-25
1841650041 Akhi Saha Internal Medicine 325 W Broad St Fl 1, Bethlehem, PA 18018 2016-03-01
1063804193 Paul Minh Le Internal Medicine 800 Eaton Ave Ste B, Bethlehem, PA 18018 2015-02-26
1578962841 Elizabeth Veronica Weiss Iobst Counselor 1754 W. Broad St., Bethlehem, PA 18018 2014-08-22
1255771739 Inner Resources Counseling Inc Counselor 807 West Broad St, Bethlehem, PA 18018 2013-06-28
1437404878 St Luke Hospital General Acute Care Hospital 1956 C Allwood Dr., Bethlehem, PA 18018 2012-07-23
1275802944 St. Luke's Physician Group, Inc Ophthalmology 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 2011-12-23
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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
1114402682 Anna Violet Sheedy Psychologist 1 W Broad St Ste 810, Bethlehem, PA 18018-5877 2018-09-30
1235612482 Eleanor Benner Psychologist 1 Bethlehem Plz Ste 8101, Bethlehem, PA 18018-5754 2018-09-13
1366959488 Stephen J Sell Psychologist 35 E Elizabeth Ave Ste 26, Bethlehem, PA 18018-6505 2018-01-10
1063950517 Brooke Hoffman Psychologist 4439 Harriet Ln, Bethlehem, PA 18017-8418 2017-02-04
1366844946 Julie Amato Psychologist 3400 Bath Pike Ste 302, Bethlehem, PA 18017-2485 2014-09-25
1275785453 Tanya Rene Waters Psychologist 807 W Broad St, Bethlehem, PA 18018-5223 2008-10-19
1760515712 Nancy Ann Killackey Psychologist 4383 Hecktown Road, Bethlehem, PA 18020 2007-03-13
1043322829 David Walter Durka Psychologist Dr D Durka 3201 Highfield Dr Suite H Bethlehem Pa 18020, Bethlehem, PA 18020-1113 2006-08-31
1154341246 David R. Youngelman Psychologist 3864 Adler Place, Suite 500, Bethlehem, PA 18017 2006-07-20
1801849583 Joel B. Ingersoll Psychologist 227 W Broad St, Suite 205, Bethlehem, PA 18018-5570 2006-05-17
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Competitor

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City BETHLEHEM
Zip Code 18018

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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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