Individual provider · Type 1 NPI
Jendayo Grady, PhD
Mental Health Counselor · College Park, MD
NPI number
1790907327
Active
Practice location
7307 Baltimore Ave Ste 214
College Park, MD 20740-3231
Mailing address
PO Box 3740
Silver Spring, MD 20918-3740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PSY1000361 (DC) |
| Clinical Psychologist | 103TC0700X | 04212 (MD) |
| Clinical Psychologist | 103TC0700X | PSY1000361 (DC) |
Mental Health Counselor: Definition to come...
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About NPI 1790907327
Jendayo Grady, PhD's National Provider Identifier is 1790907327, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in College Park, MD. The record was last updated on Jul 19, 2007.