| Jennifer Heidler Gary Psyd Llc | |
|
41 State Cir Ste 8 Annapolis MD 21401-1904 | |
| (443) 924-1395 | |
| Not Available |
| Full Name | Jennifer Heidler Gary Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 41 State Cir Ste 8, Annapolis, Maryland |
| Authorized Official Name and Position | Jennifer Elizabeth Heidler-gary (OWNER) |
| Authorized Official Contact | 4439241395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Heidler Gary Psyd Llc 314 Martins Cove Rd Annapolis MD 21409-5951 Ph: (443) 924-1395 | Jennifer Heidler Gary Psyd Llc 41 State Cir Ste 8 Annapolis MD 21401-1904 Ph: (443) 924-1395 |
| NPI Number | 1215716899 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 7719320639 |
|---|---|
| Medicare Enrollment ID | O20240208000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215716899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Heidler-gary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306237722 PECOS PAC ID: 4981921509 Enrollment ID: I20160328000445 |
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