Individual
JILLIAN MARIE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1321 WISCONSIN AVE NW, WASHINGTON, DC 20007-3311
(202) 333-6251
Mailing address
1600 S JOYCE ST APT 133, ARLINGTON, VA 22202-5103
(609) 306-3826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05281
MD
103TC0700X
Clinical Psychologist
0810005029
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000895
DC
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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