Pederson, Jo Ellyn

Pederson, Jo Ellyn is an sole proprietor health care provider with primary practice located at 2360 W Joppa Rd Ste 216 , Lutherville MD 21093. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pederson, Jo Ellyn can be contacted via phone (410) 271-4244.

Contact Information

Primary practice address
2360 W Joppa Rd Ste 216 Lutherville MD 21093
Phone: (410) 271-4244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3937 Maryland
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3937 Maryland
Behavioral Health & Social Service Providers / Family 103TF0000X 3937 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3937 Maryland

Profile Details

NPI number 1184766305
LBN Legal business name Pederson, Jo Ellyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 1st, 2018 - about 6 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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