Individual
DR. JEFFREY DAVID GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 OWINGS COURT, STE 8, REISTERSTOWN, MD 21136
(410) 526-7100
(410) 526-7138
Mailing address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02942
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183001
COMPSYCH
—
01
—
60876101
CAREFIRST MD
—
01
—
R5830005
CAREFIRST GHMSL
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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