NPI 1477093409

Jenna Syken, LATATC

Practitioner Prevention Professional Prospect Park, PA

Practice location

Address: 500 16th Ave, Prospect Park, PA 19076-1120
Phone: (610) 237-6410
Mailing address: 114 Durfor St, Philadelphia, PA 19148-4008

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence RT006054 (PA)

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Registry record

NPI: 1477093409
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2017
Record last updated: 23 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.