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Individual

DR. JAE YEON JEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10 N GREENE STREET, VA MARYLAND HEALTH CARE SYSTEM, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
10 N GREENE STREET, VA MARYLAND HEALTH CARE SYSTEM, BALTIMORE, MD 21201-1524
(410) 605-7000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
018728
NY
103T00000X
Psychologist
Primary
04731
MD

Other

Enumeration date
10/05/2009
Last updated
09/13/2016
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