Psychiatry & Neurology, Psychiatry
Dr. JACLYN DIETZOLD M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194138826 · enumerated 2014-06-10 · record updated 2026-10-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2450 W HUNTING PARK AVE, PHILADELPHIA, PA, 19129-1302 (215) 707-3411 Google Maps Apple Maps OpenStreetMap
- Practice location 100 E LEHIGH AVE, PHILADELPHIA, PA, 19125-1012 (215) 707-8496 Fax (215) 707-4086 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X · License MT207389 PA
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary · License MD470050 PA
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · License 25MA11414200 NJ
- Psychiatry & Neurology, Psychiatry 2084P0800X · License 25MA11414200 NJ
In this directory
PA Philadelphia County Philadelphia Psychiatry & Neurology, Psychiatry
Locations and evidence
-
Practice location
PHILADELPHIA, PA, 191251012
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.