Provider Demographics
NPI:1548934078
Name:APPEL, JESSE PHILLIP (MT-BC)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:PHILLIP
Last Name:APPEL
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 LYCOMING AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1205
Mailing Address - Country:US
Mailing Address - Phone:215-518-5961
Mailing Address - Fax:
Practice Address - Street 1:1030 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9648
Practice Address - Country:US
Practice Address - Phone:215-518-5961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist