Growup
NPI #1104299767 in Lansdale, Pennsylvania
Provider Information
- NPI Number
- 1104299767
- Entity Type
- Organization
- Organization Name
- Growup
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 4, 2015
- Last Updated
- Nov 4, 2015
Practice Location
- Address
- 100 W MAIN ST
- Address 2
- SUITE 435
- City
- Lansdale
- State
- Pennsylvania
- ZIP Code
- 19446-2019
- Phone
- (267) 273-8041
Authorized Official
- Name
- DR. LEELA JACKSON, PSYD
- Title
- LICENSED CLINICAL PSYCHOLOGIST
- Phone
- (267) 273-8041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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