Iseman, Jacqueline Shoshannah

Iseman, Jacqueline Shoshannah is an sole proprietor health care provider with primary practice located at 10796 Hickory Ridge Rd , Columbia MD 21044-3646. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Iseman, Jacqueline Shoshannah can be contacted via phone (410) 730-8877.

Contact Information

Primary practice address
10796 Hickory Ridge Rd Columbia MD 21044-3646
Phone: (410) 730-8877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 04331 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04331 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 04331 Maryland

Profile Details

NPI number 1023295235
LBN Legal business name Iseman, Jacqueline Shoshannah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 16 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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