Jennifer Marola Flaherty, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005254 Issued in VA

Practice address

825 Fairfax Ave Ste 710
Norfolk, VA 23507-1914

Phone

(757) 446-5888

Fax

(757) 446-5918

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• Jennifer Ann Marola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

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    "number": "1114302601",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "address_2": "EVMS MEDICAL GROUP",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-446-8400",
            "fax_number": "757-446-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVE STE 710",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071914",
            "telephone_number": "757-446-5888",
            "fax_number": "757-446-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "JENNIFER",
        "middle_name": "MAROLA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005254",
            "primary": true
        }
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    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MAROLA",
            "middle_name": "ANN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Corey Fitzgerald
• Jennifer Whitney Fitzgerald, LCP, PHD
• Benjamin Dominic Fitzharris, DDS
• Rebecca Fitzpatrick, DPT
• Robin S Fitzpatrick, ED.S., M.ED.
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• Jonathan Todd Fleenor, MD
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• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.