Provider Demographics
NPI:1881939585
Name:WEXLER, JEFFREY (PSYD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:WEXLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7913
Mailing Address - Country:US
Mailing Address - Phone:215-205-9798
Mailing Address - Fax:
Practice Address - Street 1:183 OLD BELMONT AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1934
Practice Address - Country:US
Practice Address - Phone:610-664-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017295103TC0700X
DEB1-0000922103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical