Provider Demographics
NPI:1053422733
Name:GETSON, JESSICA DILSHEIMER (LPC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DILSHEIMER
Last Name:GETSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 ANDORRA GLEN CT
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2531
Mailing Address - Country:US
Mailing Address - Phone:610-828-2801
Mailing Address - Fax:
Practice Address - Street 1:555 ANDORRA GLEN CT
Practice Address - Street 2:SUITE 4
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2531
Practice Address - Country:US
Practice Address - Phone:610-828-2801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003584101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
2361657000OtherPERSONAL CHOICE-MHS