Healthcare Provider Details

I. General information

NPI: 1295355543
Provider Name (Legal Business Name): JENNIFER ANN KOLE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER ENGELHARDT PSYD

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 NESHAMINY BLVD
BENSALEM PA
19020-1154
US

IV. Provider business mailing address

4815 NESHAMINY BLVD
BENSALEM PA
19020-1154
US

V. Phone/Fax

Practice location:
  • Phone: 973-769-6182
  • Fax:
Mailing address:
  • Phone: 973-769-6182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS019069
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: