Jacquellyne Hengst, PSYD
Individual provider Active NPI Clinical Psychologist · Paoli, PA
NPI 1750132197 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1750132197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS020123 (PA)
- Practice address
- 41 Leopard Rd Ste 304
Paoli, PA 19301-1549 - Phone
- (610) 331-6493
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020123 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haverford Psychological and Consulting Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS020123 | PA | Yes |
Addresses
Primary practice location
41 Leopard Rd Ste 304
Paoli, PA 19301-1549
Mailing address
539 Old Lancaster Rd
Haverford, PA 19041-1415
Other providers in Paoli, PA
- Haverford Psychological and Consulting Services, LLC
- Christine Frances Hayes
- Patrick E Heagey
- Hearing Health PA, LLC
- Amy A Henderson
- Claudia Hepler
- Emily Herber McLean
- Emily Herold
- Melissa Theresa Heron
- Andrew Hartman Hess
All providers in Paoli, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. 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.