Jernigan, Maryam
Jernigan, Maryam is an sole proprietor health care provider with primary practice located at 784 Farmington Ave , West Hartford CT 06119-1619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jernigan, Maryam can be contacted via phone (860) 523-4450.Contact Information
Primary practice address
784 Farmington Ave
West Hartford CT 06119-1619
Phone: (860) 523-4450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 8.003430 | Connecticut |
Profile Details
| NPI number | 1508942426 |
|---|---|
| LBN Legal business name | Jernigan, Maryam |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 30th, 2015 - about 10 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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