Individual
DR. TINA MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9881 BROKEN LAND PARKWAY, SUITE 105, COLUMBIA, MD 21046
(410) 381-2874
(410) 381-2875
Mailing address
9881 BROKEN LAND PARKWAY, SUITE 105, COLUMBIA, MD 21046
(410) 381-2874
(410) 381-2875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04243
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014158500
—
MD
Enumeration date
03/01/2007
Last updated
10/14/2008
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