Grady, Jendayo

Grady, Jendayo is an individual health care provider with primary practice located at 7307 Baltimore Ave Ste 214 , College Park MD 20740-3231. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Grady, Jendayo can be contacted via phone (240) 515-5353.

Contact Information

Primary practice address
7307 Baltimore Ave Ste 214 College Park MD 20740-3231
Phone: (240) 515-5353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSY1000361 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04212 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1000361 District of Columbia

Profile Details

NPI number 1790907327
LBN Legal business name Grady, Jendayo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 19th, 2007 - about 17 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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