Provider Demographics
NPI:1750904884
Name:SPIELMAN, JESSICA (MS, CAADC, LPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SPIELMAN
Suffix:
Gender:F
Credentials:MS, CAADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:ALBURTIS
Mailing Address - State:PA
Mailing Address - Zip Code:18011-2614
Mailing Address - Country:US
Mailing Address - Phone:484-788-4697
Mailing Address - Fax:
Practice Address - Street 1:1422 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1351
Practice Address - Country:US
Practice Address - Phone:484-788-4697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty