Crockett, Jennifer L

Crockett, Jennifer L is an individual health care provider with primary practice located at 707 N Broadway , Baltimore MD 21205-1832. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Crockett, Jennifer L can be contacted via phone (443) 923-1886.

Contact Information

Primary practice address
707 N Broadway Baltimore MD 21205-1832
Phone: (443) 923-1886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 04418 Maryland

Profile Details

NPI number 1598884462
LBN Legal business name Crockett, Jennifer L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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