Dr. Alissa Beth Jerud, PhD
Psychologist, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1508340720
StatusActive
Last updated in NPPESSep 24, 2018
Details
- NPI
- 1508340720
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alissa Beth Jerud
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2018
- Last updated
- Sep 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PS018588 | PA | Yes |
Other names
- Alissa Beth Worly (Former Name)
Practice location
4618 Hazel AvePhiladelphia, PA 19143-2104
Phone 206-501-8794
Mailing address
4618 Hazel AvePhiladelphia, PA 19143-2104
Phone 206-501-8794
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