Individual
DR. JENNIFER ANN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4350 E WEST HWY STE 200, BETHESDA, MD 20814-4426
(301) 970-4001
Mailing address
14612 STURTEVANT RD, SILVER SPRING, MD 20905-4455
(540) 290-6889
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
1393
NE
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H0091257
MD
Other
Enumeration date
03/01/2014
Last updated
04/19/2021
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