IndividualActive
Alissa Jerud, PHD
NPI 1508340720 · Clinical Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1508340720
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS018588 (PA)
Mailing address
4618 Hazel Ave
Philadelphia, PA 19143-2104
Registry dates
- Enumerated
- 2018-09-24
- Last updated
- 2018-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.