Provider Demographics
NPI:1801765045
Name:MCKIERNAN-CLARKE, M.A., JEANNIE
Entity type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:
Last Name:MCKIERNAN-CLARKE, M.A.
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 1:629 KINGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3027
Mailing Address - Country:US
Mailing Address - Phone:610-327-1631
Mailing Address - Fax:
Practice Address - Street 1:1800 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3239
Practice Address - Country:US
Practice Address - Phone:610-327-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health