DR. JESSICA LAX PSY.D.
NPI 1649615170
Psychologist - Clinical in Philadelphia, PA

Q: What is Jessica Lax's NPI number?

The NPI number for Jessica Lax is 1649615170. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Q: What is Jessica Lax's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lax was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2013

10541 DRUMMOND RD, PHILADELPHIA, PA 19154(215) 612-7573(215) 632-6426 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jessica Lax Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA LAX PSY.D. (NPI 1649615170) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS018819) and active in the NPI registry since May 2013. She maintains a secondary practice location in Penndel.

NPPES Registry Identity

NPI1649615170

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA LAXCredential: PSY.D.

Location Address10541 DRUMMOND RDPhiladelphia, PA 19154

Mailing Address2005 Cabot Blvd WLanghorne, PA 19047-1885

Phone(215) 612-7573

Fax(215) 632-6426

Sole ProprietorYes

Enumeration DateMay 10, 2013

Last NPPES UpdateJuly 22, 2019

✔ NPI 1649615170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS018819

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10541 DRUMMOND RD, Philadelphia, PA 19154

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Secondary Practice Location 1

Location 11517 Durham RdPenndel, PA 19047-5707 · Phone (215) 752-1541

Other Identifiers 1

Medicaid23-1742920PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA BENSON M.A.

Behavior Analyst