Healthcare Provider Details

I. General information

NPI: 1780506626
Provider Name (Legal Business Name): JENNIFER MEGAN LLEWELLYN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S BOLMAR ST
WEST CHESTER PA
19382-4931
US

IV. Provider business mailing address

1231 W KING RD
MALVERN PA
19355-1905
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-5200
  • Fax:
Mailing address:
  • Phone: 215-896-5856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: