Jacquelyn O'Malley, M.ED
Individual provider Active NPI Counselor · Erdenheim, PA
NPI 1629316211 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1629316211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 804 Longfield Rd
Erdenheim, PA 19038-7820 - Phone
- (215) 370-1626
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
804 Longfield Rd
Erdenheim, PA 19038-7820
Mailing address
1101 Bethlehem Pike
Rear Office
Flourtown, PA 19031-1939
Phone (215) 370-1626
Other providers in Erdenheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.