Individual
JEAN FRENKIL AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D, PA-C
Contact information
Practice address
112 S CROSS ST FL 2, CHESTERTOWN, MD 21620-1549
(443) 282-0481
Mailing address
112 S CROSS ST FL 2, CHESTERTOWN, MD 21620-1549
(443) 282-0481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
02442
MD
103TC0700X
Clinical Psychologist
Primary
02442
MD
363AM0700X
Medical Physician Assistant
MA054657
PA
363AM0700X
Medical Physician Assistant
OA002811
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225324
COMPSYCH
MD
01
—
256459
MAMSI
—
01
—
32555
JOHNS HOPKINS EHP
—
01
—
58050006
CARE FIRST BCBS
MD
01
—
6149230
UNITED BEHAVIORAL HEALTH
—
Enumeration date
11/21/2006
Last updated
07/19/2021
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