Provider Demographics
NPI:1386766814
Name:KJW AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:KJW AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-518-6020
Mailing Address - Street 1:530 BRANDYWINE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3418
Mailing Address - Country:US
Mailing Address - Phone:484-883-1040
Mailing Address - Fax:267-494-0355
Practice Address - Street 1:530 BRANDYWINE AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3418
Practice Address - Country:US
Practice Address - Phone:484-883-1040
Practice Address - Fax:267-494-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-008361-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty