Individual
DR. JACLYN LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2479 5TH ST., FT. MEADE, MD 20755
(410) 305-5325
Mailing address
1321 EUTAW PL, APT B, BALTIMORE, MD 21217-3636
(410) 305-5325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05706
MD
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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