National Provider Identifier Database

JESSICA LAX, PSY.D. – NPI #1649615170
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JESSICA LAX, PSY.D.
10541 DRUMMOND RD
PHILADELPHIA, PA19154
Phone: 215-612-7573
Fax: 215-632-6426
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JESSICA LAX

NPI Number 1649615170
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/10/2013
Last updated 07/22/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: PS018819
  • PA Medicaid: 23-1742920
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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