Provider Demographics
NPI:1609758317
Name:GEORGE, JESSICA LYNN (PSYD, LBS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PSYD, LBS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:LAMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, LBS
Mailing Address - Street 1:4765 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4820
Mailing Address - Country:US
Mailing Address - Phone:215-287-6819
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist