Healthcare Provider Details

I. General information

NPI: 1366296865
Provider Name (Legal Business Name): JANA HARTJEN PSYD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 ROLLING LN
CHERRY HILL NJ
08003-3326
US

IV. Provider business mailing address

1814 ROLLING LN
CHERRY HILL NJ
08003-3326
US

V. Phone/Fax

Practice location:
  • Phone: 856-208-7225
  • Fax:
Mailing address:
  • Phone: 856-208-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANA HARTJEN
Title or Position: OWNER/LICENSED PSYCHOLOGIST
Credential: PSYD
Phone: 856-208-7225