Vidas, Jennifer Douglas

Vidas, Jennifer Douglas is an sole proprietor health care provider with primary practice located at 255 Rockville Pike Ste 145 , Rockville MD 20850-5136. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vidas, Jennifer Douglas can be contacted via phone (240) 777-3852.

Contact Information

Primary practice address
255 Rockville Pike Ste 145 Rockville MD 20850-5136
Phone: (240) 777-3852
Fax: (240) 777-4806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2825 Maryland

Profile Details

NPI number 1033383955
LBN Legal business name Vidas, Jennifer Douglas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated May 30th, 2014 - 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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