Stidham, Jennifer Lynn

Stidham, Jennifer Lynn is an individual health care provider with primary practice located at 1651 Old Meadow Rd Ste 600 , Mc Lean VA 22102-4389. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stidham, Jennifer Lynn can be contacted via phone (703) 564-1662.

Contact Information

Primary practice address
1651 Old Meadow Rd Ste 600 Mc Lean VA 22102-4389
Phone: (703) 564-1662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Maryland

Profile Details

NPI number 1548777907
LBN Legal business name Stidham, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 7 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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