Individual
JAMEICE DECOSTER-EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8006 WINGATE DR, GLENN DALE, MD 20769-2025
(240) 486-6311
Mailing address
8006 WINGATE DR, GLENN DALE, MD 20769-2025
(240) 486-6311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYA200001441
DC
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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