Provider Demographics
NPI:1841083532
Name:LUNDBERG, JAYLEE LYN (MA)
Entity type:Individual
Prefix:
First Name:JAYLEE
Middle Name:LYN
Last Name:LUNDBERG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 N MAIN ST APT A
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2912
Mailing Address - Country:US
Mailing Address - Phone:570-909-7481
Mailing Address - Fax:
Practice Address - Street 1:16 N FRANKLIN ST STE 115
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3536
Practice Address - Country:US
Practice Address - Phone:215-622-2659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor