Provider Demographics
NPI:1538520366
Name:JENNIFER CHAIKEN MFT LLC
Entity type:Organization
Organization Name:JENNIFER CHAIKEN MFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:215-804-9410
Mailing Address - Street 1:222 N WALNUT ST
Mailing Address - Street 2:STE LL
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2607
Mailing Address - Country:US
Mailing Address - Phone:215-804-9410
Mailing Address - Fax:
Practice Address - Street 1:222 N WALNUT ST
Practice Address - Street 2:STE LL
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2607
Practice Address - Country:US
Practice Address - Phone:215-804-9410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty