Provider Demographics
NPI:1427389121
Name:KLEINFELTER, JILL WHITNEY
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:WHITNEY
Last Name:KLEINFELTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 AMERICAN AVE
Mailing Address - Street 2:APT. D309
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1451
Mailing Address - Country:US
Mailing Address - Phone:717-304-9589
Mailing Address - Fax:
Practice Address - Street 1:620 AMERICAN AVE
Practice Address - Street 2:APT. D309
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1451
Practice Address - Country:US
Practice Address - Phone:717-304-9589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor