Individual
MS. JANE CHABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10500 SUMMIT AVENUE, KENSINGTON, MD 20895-2138
(301) 897-2383
(301) 897-2333
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04827
MD
103T00000X
Psychologist
0904003304
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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