Crim, Jennie Lynn
Crim, Jennie Lynn is an individual health care provider with primary practice located at 10560 Main St Ste 507 , Fairfax VA 22030. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Crim, Jennie Lynn can be contacted via phone (703) 691-1326.Contact Information
Primary practice address
10560 Main St Ste 507
Fairfax VA 22030
Phone: (703) 691-1326
Fax: (703) 691-3553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810002053 | Virginia |
Profile Details
| NPI number | 1013963347 |
|---|---|
| LBN Legal business name | Crim, Jennie Lynn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013963347 | NPPES |
| Virginia | MEDICAID | 7703872 |
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