Jennifer Bevard
Individual provider Active NPI Counseling Psychologist · Prince Frederick, MD
NPI 1144696402 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1144696402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- Practice address
- 489 Main St
Prince Frederick, MD 20678-3187 - Phone
- (410) 535-3047
- Fax
- (410) 535-3890
- NPI assigned
- Aug 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Children Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Yes |
Addresses
Primary practice location
489 Main St
Prince Frederick, MD 20678-3187
Mailing address
489 Main St
Prince Frederick, MD 20678-3187
Phone (410) 535-3047
Other providers in Prince Frederick, MD
- Meghan Leisl Bernier
- Patricia Berry
- Christine Marie Berube
- Scott A Berube
- Charlotte Betteridge
- Bhargesh P. Mehta, M.D., P.a.
- Ervind Sriram Bhogte
- Bisa Wellness Center LLC
- Elizabeth Anne Bissett
- Gwendolyn Marcella Blacknall
All providers in Prince Frederick, MD · Counseling Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.