Individual
JENNIFER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
479 JUMPERS HOLE RD, SUITE 106, SEVERNA PARK, MD 21146-1600
(410) 647-8840
Mailing address
4 N MONTFORD AVE, BALTIMORE, MD 21224-1050
(914) 879-8856
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05600
MD
Other
Enumeration date
04/16/2015
Last updated
10/15/2020
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