Individual provider · Type 1 NPI

Jessica R. Ponzo

Psychologist · Philadelphia, PA

NPI number 1811894751 Active

Practice location

4601 Market St
Philadelphia, PA 19139-4636

Call (215) 878-3400 Map

Fax (267) 878-2082

Other practice locations

  • 2801 Grant Ave, Philadelphia, PA 19114-1032 · (215) 878-3400

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS020887 (PA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1811894751

Jessica R. Ponzo's National Provider Identifier is 1811894751, issued on Oct 23, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 23, 2026.