Individual provider · Type 1 NPI
Jennifer Christa Willoughby, PhD
Psychologist · Leonardtown, MD
Practice location
41900 Fenwick St, Suite #1
Leonardtown, MD 20650-3814
Fax (301) 475-8810
Mailing address
PO Box 1608
Leonardtown, MD 20650-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 03600 (MD) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1619083110
Jennifer Christa Willoughby, PhD's National Provider Identifier is 1619083110, issued on Aug 21, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Leonardtown, MD. The record was last updated on Jan 8, 2013.