Individual provider · Type 1 NPI

Jaclyn Dietzold, MD

Psychiatry Physician · Philadelphia, PA

NPI number 1194138826 Active

Practice location

100 E Lehigh Ave
Philadelphia, PA 19125-1012

Call (215) 707-8496 Map

Fax (215) 707-4086

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

  • 765 Route 70 E Bldg A, Marlton, NJ 08053-2341 · (856) 797-4771

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XMT207389 (PA)
Psychiatry Physician Primary 2084P0800XMD470050 (PA)
Child & Adolescent Psychiatry Physician 2084P0804X25MA11414200 (NJ)
Psychiatry Physician 2084P0800X25MA11414200 (NJ)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1194138826

Jaclyn Dietzold, MD's National Provider Identifier is 1194138826, issued on Jun 10, 2014. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 7, 2026.