Individual
JESSICA PAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.PSY.
Contact information
Practice address
10924 MARTINGALE CT, POTOMAC, MD 20854-1560
(240) 476-2937
Mailing address
10924 MARTINGALE CT, POTOMAC, MD 20854-1560
(240) 476-2937
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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