| Jaime Fenton, Ph.d., Llc | |
|
405 Allegheny Ave Towson MD 21204-4256 | |
| (443) 602-6426 | |
| Not Available |
| Full Name | Jaime Fenton, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 405 Allegheny Ave, Towson, Maryland |
| Authorized Official Name and Position | Jaime Fenton (PSYCHOLOGIST) |
| Authorized Official Contact | 4436026426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Fenton, Ph.d., Llc 405 Allegheny Ave Towson MD 21204-4256 Ph: (443) 602-6426 | Jaime Fenton, Ph.d., Llc 405 Allegheny Ave Towson MD 21204-4256 Ph: (443) 602-6426 |
| NPI Number | 1902354780 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902354780 | NPI | - | NPPES |
| 1366891806 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4435 (Maryland) | Primary |
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