Provider Demographics
NPI:1982580858
Name:HALVORSEN, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:HALVORSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8705 GERMANTOWN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2720
Mailing Address - Country:US
Mailing Address - Phone:215-247-5400
Mailing Address - Fax:
Practice Address - Street 1:8705 GERMANTOWN AVE STE 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2720
Practice Address - Country:US
Practice Address - Phone:215-247-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health