Provider Demographics
NPI:1295960920
Name:O'SHEA, JENNIFER LINDSAY (MA LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LINDSAY
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
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Mailing Address - Street 1:1508 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-2733
Mailing Address - Country:US
Mailing Address - Phone:610-613-8019
Mailing Address - Fax:
Practice Address - Street 1:601 GAY ST
Practice Address - Street 2:SUITE 6
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3852
Practice Address - Country:US
Practice Address - Phone:610-917-2200
Practice Address - Fax:610-917-2360
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2014-01-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health