Individual provider · Type 1 NPI
Heather K. Jennett, PhD
Intellectual & Developmental Disabilities Psychologist · Baltimore, MD
NPI number
1861511735
Active
Practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
2931 E Biddle St
Baltimore, MD 21213-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 04416 (MD) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1861511735
Heather K. Jennett, PhD's National Provider Identifier is 1861511735, issued on Mar 29, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.