Provider Demographics
NPI:1295568764
Name:SENICK, JAYNE
Entity type:Individual
Prefix:
First Name:JAYNE
Middle Name:
Last Name:SENICK
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 1:327 HECKLER ST
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4313
Mailing Address - Country:US
Mailing Address - Phone:267-640-5018
Mailing Address - Fax:
Practice Address - Street 1:1407 BETHLEHEM PIKE STE 201
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1946
Practice Address - Country:US
Practice Address - Phone:267-640-5018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health