Provider Demographics
NPI:1417782251
Name:SCHECK, JACQUELINE ALEXA (MT-BC)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:ALEXA
Last Name:SCHECK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-1008
Mailing Address - Country:US
Mailing Address - Phone:215-356-4509
Mailing Address - Fax:
Practice Address - Street 1:757 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2829
Practice Address - Country:US
Practice Address - Phone:610-873-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18182225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist