Provider Demographics
NPI:1326645730
Name:JENNIFER L HARTEY PSYD LLC
Entity Type:Organization
Organization Name:JENNIFER L HARTEY PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-335-4488
Mailing Address - Street 1:209 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1528
Mailing Address - Country:US
Mailing Address - Phone:814-321-8925
Mailing Address - Fax:
Practice Address - Street 1:209 5TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1528
Practice Address - Country:US
Practice Address - Phone:814-321-8925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty